Healthcare Provider Details

I. General information

NPI: 1346889250
Provider Name (Legal Business Name): KAYLEE DREWRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLEE MEILAHN ARNP

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E MAIN ST STE 100
AUBURN WA
98002-4905
US

IV. Provider business mailing address

1 E MAIN ST STE 100
AUBURN WA
98002-4905
US

V. Phone/Fax

Practice location:
  • Phone: 425-690-3480
  • Fax: 425-690-9480
Mailing address:
  • Phone: 425-690-3480
  • Fax: 425-690-9480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61028193
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP61028193
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61025884
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: