Individual
KAIA ELYSE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
401 BUSTER RD, TOPPENISH, WA 98948
(509) 865-2102
Mailing address
PO BOX 1384, TOPPENISH, WA 98948
(509) 314-1720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61378910
WA
Other
Enumeration date
10/25/2024
Last updated
01/29/2025
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