Search › Washington › 103K00000X
Kelly Kustok
NPI 1558860049 · on the registry since 2018
Practice
- Address
- 5919 100th St Sw # 2
Lakewood, WA 98499 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- Clinicians at this address
- 79
Additional practice sites
- 2805 Trent Rd, New Bern, NC
- 3680 S Cedar St Ste A, Tacoma, WA
- 914 140th Ave Ne Ste 201, Bellevue, WA
- 521 Military Rd S, Tacoma, WA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
103K00000X
103K00000X - Licence states on file
- WA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington