OrganizationActive
Mikhail Kisselev, Nd, PH.D, LLC
NPI 1871844316 · Non-Pharmacy Dispensing Site · Seattle, WA
Provider details
- NPI number
- 1871844316
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Mikhail Kisselev, Nd, PH.D, LLC
- Organization subpart
- Yes
- Authorized official
- Mikhail Kisselev, Medical Director(206) 361-0108
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11524 15th Ave Ne
Suite C
Seattle, WA 98125-6357
Phone: (206) 361-0108
Street-level locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2012-09-24
- Last updated
- 2012-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.