Individual
KAYLA M VISCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 N 107TH ST STE 480, SEATTLE, WA 98133-9009
(866) 686-2504
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(719) 538-2900
(719) 538-2990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0007765
CO
363A00000X
Physician Assistant
Primary
PA60956859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000213809
—
CO
01
—
PA.0007765
COLORADO LICENSE
CO
Enumeration date
07/24/2019
Last updated
07/15/2025
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