Provider Demographics
NPI:1194318774
Name:BRIONES, KIMBERLY DELEN (DC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DELEN
Last Name:BRIONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:DELEN-BRIONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:13520 LINDEN AVE N APT 335
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7550
Mailing Address - Country:US
Mailing Address - Phone:415-244-7032
Mailing Address - Fax:
Practice Address - Street 1:701 N 36TH ST STE 430
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8868
Practice Address - Country:US
Practice Address - Phone:206-547-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61133874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty