Individual
KYLIE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W 4TH AVE, KENNEWICK, WA 99336-5533
(509) 222-5000
Mailing address
3702 W 22ND AVE, KENNEWICK, WA 99338-2313
(509) 222-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60462801
WA
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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