Individual
DR. KAYDEE DIANA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
212 E CENTRAL AVE STE 240, SPOKANE, WA 99208-6597
(509) 455-8820
(509) 838-4978
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
(509) 944-9644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
256053
AZ
363LF0000X
Family Nurse Practitioner
833365
NV
363LF0000X
Family Nurse Practitioner
Primary
AP61145804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092061
—
AZ
Enumeration date
04/21/2021
Last updated
05/12/2025
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