Individual
KAITLIN AMICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34716 1ST AVE S, FEDERAL WAY, WA 98003-6760
(253) 517-7058
Mailing address
520 TERRY AVE UNIT 728, SEATTLE, WA 98104-2452
(330) 931-9428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60963712
WA
Other
Enumeration date
08/19/2019
Last updated
05/29/2020
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