Provider Demographics
NPI:1851038848
Name:KIN ON HEALTH CARE CENTER
Entity Type:Organization
Organization Name:KIN ON HEALTH CARE CENTER
Other - Org Name:KIN ON HEALTH CARE CENTER HEALTH HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-721-3630
Mailing Address - Street 1:900 S JACKSON ST UNIT 218-219
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3053
Mailing Address - Country:US
Mailing Address - Phone:206-652-2330
Mailing Address - Fax:
Practice Address - Street 1:900 S JACKSON ST UNIT 218-219
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3053
Practice Address - Country:US
Practice Address - Phone:206-652-2330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIN ON HEALTH CARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-19
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management