Kisha M. Clune, MD

Psychiatry Physician · Edmonds, WA

Individual Active NPI

NPI number 1356795363

Practice location

21911 76TH Ave W Ste 110
Edmonds, WA 98026-7918
Phone
(425) 640-4950
Fax
(425) 640-4958

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NPI record

NPI
1356795363
Entity type
Individual (Type 1)
Enumeration date
April 15, 2016
Last updated
August 5, 2020
Certified
August 5, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychiatry Physician Primary 2084P0800X MD60874927 WA

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone
(206) 320-4476
Fax
(206) 568-7043

About Dr. Clune

Kisha M. Clune, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 21911 76TH Ave W Ste 110, Edmonds, WA 98026-7918. The NPI number 1356795363 was assigned on April 15, 2016 and the record was last updated on August 5, 2020.

Dr. Clune lists a license in the registry: #MD60874927 (WA) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kisha M. Clune, MD?

The NPI number is 1356795363.

What is the phone number of Dr. Clune?

The phone number listed for the practice location is (425) 640-4950.

Where is Dr. Clune located?

21911 76TH Ave W Ste 110, Edmonds, WA 98026-7918.

What is the taxonomy code for Dr. Clune?

The primary taxonomy code is 2084P0800X – Psychiatry Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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