Provider Demographics
NPI:1932986155
Name:KIYABU, REID (ND)
Entity Type:Individual
Prefix:
First Name:REID
Middle Name:
Last Name:KIYABU
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E JEFFERSON ST STE 603
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5649
Mailing Address - Country:US
Mailing Address - Phone:206-726-0034
Mailing Address - Fax:833-551-4825
Practice Address - Street 1:802 NE 66TH ST APT W409
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5590
Practice Address - Country:US
Practice Address - Phone:808-352-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath