Provider Demographics
NPI:1861144669
Name:WASHINGTON, KAY CHAMBERS
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:CHAMBERS
Last Name:WASHINGTON
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 1:776 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:NC
Mailing Address - Zip Code:28326-0058
Mailing Address - Country:US
Mailing Address - Phone:191-975-6467
Mailing Address - Fax:
Practice Address - Street 1:776 YORKSHIRE DR
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:NC
Practice Address - Zip Code:28326-0058
Practice Address - Country:US
Practice Address - Phone:919-756-4674
Practice Address - Fax:919-449-4951
Is Sole Proprietor?:No
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide