Provider Demographics
NPI:1134707417
Name:WATSON, KAYCEE R
Entity type:Individual
Prefix:
First Name:KAYCEE
Middle Name:R
Last Name:WATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 144TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-8000
Mailing Address - Country:US
Mailing Address - Phone:425-233-7894
Mailing Address - Fax:
Practice Address - Street 1:6909 144TH STREET CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-8000
Practice Address - Country:US
Practice Address - Phone:425-233-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0413301OtherDEPARTMENT OF LABOR AND INDUSTRIES