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

Kirk W Petheram, DC

Individual provider Chiropractor · NPI 1770613580

Kirk W Petheram, DC is a Chiropractic in Bainbridge Island, Washington. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
34
Licensed in
CA, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

701 Winslow Way E Ste B
Bainbridge Island, WA 98110-2416
Phone: (206) 842-2702
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3554 (WA)
Chiropractor Taxonomy 111N00000X · Licence 22433 (CA)

Record details

NPI number1770613580
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESJanuary 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bainbridge Island