Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00000781 | WA |
NPI | 1154409639 |
---|---|
Provider Name | Dr. Kaylee R Mcdonald |
First Address | Buckley, WA 98321-1530 |
Second Address | Buckley, WA 98321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |