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

Mod Skin and Body Clinic

Organization Specialist · NPI 1801227327

Mod Skin and Body Clinic is a Specialist in Kirkland, Washington. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

14130 Juanita Dr NE Ste 110
Kirkland, WA 98034-0127
Phone: (425) 406-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1801227327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Tabares — Ceo · (425) 406-8455
NPI enumeratedDecember 9, 2013
Last updated in NPPESJanuary 10, 2014
Mailing address14130 Juanita Dr Ne Ste 110, Kirkland, WA 98034-0127

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