Individual
KATE ALYCA WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
6002 WESTGATE BLVD STE 274, TACOMA, WA 98406-2571
(253) 761-8939
Mailing address
2489 SE TUCCI PL, PORT ORCHARD, WA 98367-9614
(360) 649-4035
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
MW61198999
WA
176B00000X
Midwife
Primary
MW61198999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2235687
—
WA
Enumeration date
02/24/2022
Last updated
10/12/2025
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