Individual
DR. KAITLYN ELIZABETH GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1940 116TH AVE NE STE 103, BELLEVUE, WA 98004-3011
(800) 500-8243
(253) 759-2988
Mailing address
1311 S UNION AVE # 102, TACOMA, WA 98405-1959
(800) 500-8243
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD61320760
WA
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2217051
—
WA
Enumeration date
06/02/2022
Last updated
01/10/2023
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