Individual provider · Type 1 NPI

Kailee Lackey, RN

Registered Nurse · Lacey, WA

NPI number 1104731876 Active

Practice location

1450 Northwest Ln SE Ste A
Lacey, WA 98503-6908

Fax (360) 491-3090

Mailing address

3128 Ponderosa St NE Unit B
Lacey, WA 98516-6803

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X340930 (NC)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104731876

Kailee Lackey, RN's National Provider Identifier is 1104731876, issued on Aug 17, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lacey, WA. The record was last updated on Aug 17, 2026.