Provider Demographics
NPI:1891548228
Name:CHALMERS, KRISTEN DIANE (MD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:DIANE
Last Name:CHALMERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 WILLOW CT N
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7859
Mailing Address - Country:US
Mailing Address - Phone:360-319-1339
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST BOX 356560
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:360-319-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program