Organization
KRIS KYRO PH.D. INC. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER J KYRO PH.D (OWNER)
(425) 258-2958
Entity
Organization
Contact information
Practice address
3206 WETMORE AVE, SUITE 13, EVERETT, WA 98201-6407
(425) 258-2958
(425) 259-0861
Mailing address
3206 WETMORE AVE, SUITE 13, EVERETT, WA 98201-6407
(425) 258-2958
(425) 259-0861
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165866
LABOR AND INDUSTRIES
WA
01
—
192504
VALUE OPTIONS
—
05
—
7300494
—
WA
01
—
7815223
AETNA
—
01
—
8852KY
REGENCE
—
Enumeration date
08/13/2006
Last updated
08/22/2020
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