Provider Demographics
NPI:1487902912
Name:ARNDT, KIRI T (RN, ATC)
Entity type:Individual
Prefix:
First Name:KIRI
Middle Name:T
Last Name:ARNDT
Suffix:
Gender:F
Credentials:RN, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 E THURSTON AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2944
Mailing Address - Country:US
Mailing Address - Phone:406-207-3762
Mailing Address - Fax:
Practice Address - Street 1:1215 E THURSTON AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2944
Practice Address - Country:US
Practice Address - Phone:406-207-3762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-EMTB-LIC-13491146N00000X
WAA1 604941442255A2300X
ORAT-AT-101499002255A2300X
WARN61056644163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer