Individual
KAITLIN G BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1299 BISHOP RD, CHEHALIS, WA 98532-8758
(360) 748-0211
(360) 740-4170
Mailing address
PO BOX 1267, CHEHALIS, WA 98532-0260
(360) 748-0211
(360) 740-4170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN00168048
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239626
LABOR & INDUSTRIES
WA
05
—
9658212
—
WA
Enumeration date
06/12/2008
Last updated
04/16/2021
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