Healthcare Provider Details

I. General information

NPI: 1598198442
Provider Name (Legal Business Name): KAYLI LYNN SENZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 09/23/2020
Certification Date: 09/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34709 9TH AVE S STE B500
FEDERAL WAY WA
98003-6789
US

IV. Provider business mailing address

34709 9TH AVE S STE B500
FEDERAL WAY WA
98003-6789
US

V. Phone/Fax

Practice location:
  • Phone: 253-944-6950
  • Fax: 253-944-6986
Mailing address:
  • Phone: 253-944-6950
  • Fax: 253-944-6986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number57.027909
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD61032427
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: