Provider Demographics
NPI:1902458821
Name:FALBO, KIERRA JEAN
Entity Type:Individual
Prefix:
First Name:KIERRA
Middle Name:JEAN
Last Name:FALBO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 E MADISON ST APT 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4753
Mailing Address - Country:US
Mailing Address - Phone:724-678-1669
Mailing Address - Fax:
Practice Address - Street 1:501 EASTLAKE AVE E STE 300
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5546
Practice Address - Country:US
Practice Address - Phone:206-520-5000
Practice Address - Fax:206-598-4726
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management