Provider Demographics
NPI:1598839490
Name:LENG, KIRSTEN HARRIS (RD,CD)
Entity type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:HARRIS
Last Name:LENG
Suffix:
Gender:F
Credentials:RD,CD
Other - Prefix:MISS
Other - First Name:KIRSTEN
Other - Middle Name:HARRIS
Other - Last Name:BEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:3635 FREMONT AVE N
Mailing Address - Street 2:#301
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8754
Mailing Address - Country:US
Mailing Address - Phone:206-547-4727
Mailing Address - Fax:
Practice Address - Street 1:10808 NE 145TH ST
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-5200
Practice Address - Country:US
Practice Address - Phone:206-412-0997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00001862133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered