Basic Information
Provider Information
NPI: 1578837845
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALKIRE
FirstName: KENDRA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6704 NE 181ST ST
Address2: STE 101
City: KENMORE
State: WA
PostalCode: 980284890
CountryCode: US
TelephoneNumber: 4254194363
FaxNumber: 4254194969
Practice Location
Address1: 13118 121ST WAY NE
Address2: SUITE 201
City: KIRKLAND
State: WA
PostalCode: 980343004
CountryCode: US
TelephoneNumber: 4258208474
FaxNumber: 4258208054
Other Information
ProviderEnumerationDate: 03/02/2012
LastUpdateDate: 10/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT60266559WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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