Provider Demographics
NPI:1760857262
Name:KUHN, ANGELA (MS, LMP, RDN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:KUHN
Suffix:
Gender:F
Credentials:MS, LMP, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 POWELL AVE SW
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2908
Mailing Address - Country:US
Mailing Address - Phone:425-277-1311
Mailing Address - Fax:
Practice Address - Street 1:2920 1ST AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1820
Practice Address - Country:US
Practice Address - Phone:206-682-0676
Practice Address - Fax:206-623-0397
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI 60615213133V00000X
WAMA 60415319225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist