# KIN HEALTH & WELLNESS, SPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669952800
- **Authorized official:** DR. ELIZABETH BARRERA DO (PRESIDENT)
- **Authorized official phone:** (360) 563-0858

## Contact information

- **Practice address:** 302 MAPLE AVE, SNOHOMISH, WA 98290-2526
- **Practice address phone:** (603) 568-3319
- **Practice address fax:** (360) 568-5106
- **Mailing address:** 16204 ROOSEVELT RD, SNOHOMISH, WA 98290-8810
- **Mailing address phone:** (360) 635-0858
- **Mailing address fax:** (360) 568-5106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OP60560271 | WA | Yes |
| 261QP2300X | Primary Care Clinic/Center | OP60560271 | WA | — |

## Other

- **Enumeration date:** 08/17/2018
- **Last updated:** 08/17/2018