DR. CHRISTIAN KISHLOCK (NPI# 1316407133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316407133 |
| Entity Type | Individual |
| Full Name | DR. CHRISTIAN KISHLOCK |
| Credential | MD |
| Practice Address |
140 Sw 146th St Burien WA 98166-1912 |
| Mailing Address |
125 16th Ave E # Csb545 Seattle WA 98112-5211 |
| Practice Telephone | 2069012400 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
140 SW 146TH ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394702 | Sarah Beth Philp | Family Medicine | 140 Sw 146th St, Burien, WA 98166-1912 | 2005-08-26 |
| 1902425648 | Alejandra Duran Arreola | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166-1912 | 2020-04-13 |
| 1033747621 | Adetola Cilveria Adeniyi | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166 | 2020-03-30 |
| 1134689995 | Ann Lin | Family Medicine | 140 Sw 146th St, Burien, WA 98166-1912 | 2019-03-20 |
| 1275038069 | Rachel Yagi Nakanishi | Family Medicine | 140 Sw 146th St, Burien, WA 98166-1912 | 2018-03-26 |
| 1316441447 | Stephen Supoyo | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166-1912 | 2018-03-22 |
| 1932627536 | Aparna Lakshman | Physician Assistant | 140 Sw 146th St, Burien, WA 98166-1912 | 2017-09-02 |
| 1558881284 | Rachael Elizabeth Robins | Physician Assistant | 140 Sw 146th St, Burien, WA 98166-1912 | 2017-06-23 |
| 1205364817 | Sopalla Dul | Physician Assistant | 140 Sw 146th St, Burien, WA 98166 | 2017-05-25 |
| 1891228169 | Kathleen Dornan | Physician Assistant | 140 Sw 146th St, Burien, WA 98166 | 2017-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817265 | Keturah Suzanne Weathers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-01 |
| 1003423211 | Madeleine Sylvia Melamed | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-30 |
| 1205443660 | Candis Erin Myers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1023625944 | Kiera Stevens | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-24 |
| 1427662212 | Saba Shabir Karim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-08-31 |
| 1740893379 | Dorothy Lynn Devaney | Student in an Organized Health Care Education/Training Program | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-08-24 |
| 1881212249 | Carrie Persephone Ancel | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-07-10 |
| 1902425648 | Alejandra Duran Arreola | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166-1912 | 2020-04-13 |
| 1033747621 | Adetola Cilveria Adeniyi | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166 | 2020-03-30 |
| 1477186575 | Aspen Hardy | Student in an Organized Health Care Education/Training Program | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-02-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.