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Individual

KAYLEEN MERIAM HEAGNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 136TH PL NE, BELLEVUE, WA 98005-2343
(253) 223-3163
Mailing address
1800 136TH PL NE, BELLEVUE, WA 98005-2343

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60690219
WA
163WH0200X
Home Health Registered Nurse
RN60690219
WA

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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