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Living Well Kent Collaborative — NPI 1760945968, Kent, WA | NPI Central

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NPI 1760945968

OrganizationActive

Living Well Kent Collaborative

NPI 1760945968 · Nutrition Education Nutritionist · Kent, WA

Provider details

NPI number: 1760945968
Entity type: Organization
Primary specialty: Nutrition Education NutritionistDietary & Nutritional Service Providers
Organization subpart: No
Authorized official: Shamso Issak, Executive Director(253) 457-2964

Specialties & taxonomies

Nutrition Education NutritionistPrimary133NN1002X
Dietary & Nutritional Service Providers

Practice location

515 W Harrison St Ste 208

Kent, WA 98032-4403

Phone: (253) 457-2964

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

10605 Se 240th St # 232

Kent, WA 98031-4903

Other names (DBA / former)

Doing business as: Living Well Kent Collaborative

Registry dates

Enumerated: 2019-04-13
Last updated: 2019-04-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.