Provider Demographics
NPI:1780793653
Name:KUNIYUKI-HIRAHARA, KELLY SEKIKO (DDS)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:SEKIKO
Last Name:KUNIYUKI-HIRAHARA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 FAIRVIEW AVE E
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3727
Mailing Address - Country:US
Mailing Address - Phone:206-322-7706
Mailing Address - Fax:206-329-5214
Practice Address - Street 1:1500 FAIRVIEW AVE E
Practice Address - Street 2:SUITE 302
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3727
Practice Address - Country:US
Practice Address - Phone:206-322-7706
Practice Address - Fax:206-329-5214
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000103291223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist