Healthcare Provider Details

I. General information

NPI: 1205762564
Provider Name (Legal Business Name): KAYLIN FARANDA MS, GC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N 1ST ST STE 150
BOISE ID
83702-6135
US

IV. Provider business mailing address

37914 21ST PL S
FEDERAL WAY WA
98003-7710
US

V. Phone/Fax

Practice location:
  • Phone: 208-381-3088
  • Fax:
Mailing address:
  • Phone: 206-755-9459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: