Provider Demographics
NPI:1851416952
Name:KARDLY, ERIKA E (LAC)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:E
Last Name:KARDLY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 904
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-0904
Mailing Address - Country:US
Mailing Address - Phone:360-221-7292
Mailing Address - Fax:
Practice Address - Street 1:221 2ND STREET
Practice Address - Street 2:SUITE 11A
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-0904
Practice Address - Country:US
Practice Address - Phone:360-221-7292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000375171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist