Provider Demographics
NPI:1902354608
Name:YU, KYLE (DC, MS)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 22ND AVE NW APT 303
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3188
Mailing Address - Country:US
Mailing Address - Phone:503-891-7361
Mailing Address - Fax:
Practice Address - Street 1:753 N 35TH ST STE 301
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8873
Practice Address - Country:US
Practice Address - Phone:206-395-4032
Practice Address - Fax:206-426-2204
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH606689846111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor