Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mikhail Kisselev, ND, Ph D, LLC

Organization Non-Pharmacy Dispensing Site · NPI 1871844316

Mikhail Kisselev, ND, Ph D, LLC is a Non-Pharmacy Dispensing Site in Seattle, Washington. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11524 15th Ave NE Ste C
Seattle, WA 98125-6357
Phone: (206) 361-0108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1871844316
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMikhail Kisselev, ND, Ph D, LLC
Authorized official Mikhail Kisselev — Medical Director · (206) 361-0108
NPI enumeratedSeptember 24, 2012
Last updated in NPPESSeptember 24, 2012
Mailing address2980 N Beverly Glen Cir, Suite 301, Los Angeles, CA 90077-1726

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