Robert B. Kierstein, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO00000268 Issued in WA

Practice address

11903 NE 128TH St
Suite C
Kirkland, WA 98034-7209

Phone

(425) 899-5331

Fax

(425) 899-5333

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215098587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 N.E. 128TH ST.",
            "address_2": "SUITE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-899-5331",
            "fax_number": "425-899-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 NE 128TH ST",
            "address_2": "SUITE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347209",
            "telephone_number": "425-899-5331",
            "fax_number": "425-899-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERSTEIN",
        "first_name": "ROBERT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO00000268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522101",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daneal Khurl
• Yizu Tesfai Kibreab
• James Francis Kidwell, M.A, BCBA, CCC, AAC
• John Mackenzie Kier
• Jessica Kiernan
• H. Lee Kilburn, MD
• Rodd A Kiliany, PT,OT, CHT
• Matthew Kill, D.C
• Elizabeth Davis Kilmer, PHD
• Jared Newman Kilmer, PHD

• Primary Podiatric Medicine Podiatrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Primary Podiatric Medicine Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.