Individual provider · Type 1 NPI

Casey Kaczka

Student in an Organized Health Care Education/Training Program · Everett, WA

NPI number 1174365936 Active

Practice location

4526 Federal Ave
Everett, WA 98203-2132

Call (425) 349-6200 Map

Mailing address

1927 SW Cooper Way
Oak Harbor, WA 98277-8960

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174365936

Casey Kaczka's National Provider Identifier is 1174365936, issued on Jun 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Everett, WA. The record was last updated on Jun 21, 2024.