Individual
KAILEY LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
19399 114TH PL SE, KENT, WA 98031-0033
(765) 702-4654
Mailing address
520 OCCIDENTAL AVE S UNIT 406, SEATTLE, WA 98104-6825
(765) 702-4654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WA
Other
Enumeration date
05/18/2020
Last updated
03/06/2025
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