| Doctor Name: | MS. MELISSA LYNN KINDAHL |
| NPI Number: | 1053578930 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP60016964 |
| Business Practice Address: | 17000 140th Ave Ne Suite 102 Woodinville, WA - 980726928 |
| Business Phone Number: | 4254835437 |
| Business Fax Number: | 4254884919 |
| Mailing Address: | 17000 140th Ave Ne, Suite 102 WOODINVILLE |
| State: | WA |
| Postal Code: | 980726928 |
| Phone Number: | 4254835437 |
| Fax Number: | 4254884919 |
| NPI Enumeration Date: | 05/19/2008 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | AP60016964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |