Mikhail Kisselev, Nd, Ph.d, Llc
Non-pharmacy Dispensing Site
11524 15th Ave Ne, Suite C, Seattle
Washington, 98125-6357
206-361-0108 Mikhail Kisselev, Nd, Ph.d, Llc is not a DME supplier for medicare equipments and products.
Mikhail Kisselev, Nd, Ph.d, Llc is a Non-pharmacy Dispensing Site in Seattle, Washington. This organization is also known as sub part of Mikhail Kisselev, Nd, Ph.d, Llc. It is located at 11524 15th Ave Ne, Suite C, Seattle and it's customer support contact number is 206-361-0108. The authorized person of Mikhail Kisselev, Nd, Ph.d, Llc is Dr. Mikhail O. Kisselev, ND who is Medical Director of the pharmacy and his contact number is 206-361-0108.
Mikhail Kisselev, Nd, Ph.d, Llc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Mikhail Kisselev, Nd, Ph.d, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mikhail Kisselev, Nd, Ph.d, Llc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 11524 15th Ave Ne, Suite C, Seattle, Washington, 98125-6357 |
| Phone: | 206-361-0108 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mikhail O. Kisselev |
| Credentials: | ND |
| Position: | Medical Director |
| Contact Number: | 206-361-0108 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1871844316 |
| Parent Organization: | Mikhail Kisselev, Nd, Ph.d, Llc |
| NPI Enumeration Date: | 24 Sep, 2012 |
| NPI Last Update On: | 24 Sep, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mikhail Kisselev, Nd, Ph.d, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2980 N Beverly Glen Cir, Suite 301 Los Angeles, California |
| Zip: | 90077-1726 |
| Phone Number: | 310-474-9809 |
Patients can reach Mikhail Kisselev, Nd, Ph.d, Llc at
11524 15th Ave Ne, Suite C, Seattle, Washington or can
call on customer care at 206-361-0108.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.