Provider Demographics
NPI:1861285728
Name:KAYCIES ELECTROLYSIS AND SKIN CARE PC
Entity type:Organization
Organization Name:KAYCIES ELECTROLYSIS AND SKIN CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ ELECTROLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAYCIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ELSASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-537-1258
Mailing Address - Street 1:35325 DATE PALM DR STE 152C
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-7008
Mailing Address - Country:US
Mailing Address - Phone:760-537-1258
Mailing Address - Fax:760-406-5083
Practice Address - Street 1:35325 DATE PALM DR STE 152C
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-7008
Practice Address - Country:US
Practice Address - Phone:760-537-1258
Practice Address - Fax:760-406-5083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center