MEDICARE: KAILA CARMEAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0200X	Pediatric Registered Nurse	RN60935193	WA

General Provider Information

NPI Number	:	1639051154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAILA CARMEAN

Provider Business Mailing Address
First Line	:	8027 MARY AVE NW UNIT D
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4239
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8027 MARY AVE NW UNIT D
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4239
Country	:	US
Telephone Number	:	661-373-9923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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Directions to “ KAILA CARMEAN ” Practice Location

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