Healthcare Provider Details

I. General information

NPI: 1629680608
Provider Name (Legal Business Name): REYNA MARIA KAUT INTERPRETER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 RAINIER AVE N UNIT G333
RENTON WA
98057-5381
US

IV. Provider business mailing address

14201 SE PETROVITSKY RD # A3-219
RENTON WA
98058-8986
US

V. Phone/Fax

Practice location:
  • Phone: 806-729-6990
  • Fax:
Mailing address:
  • Phone: 806-729-6990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberSC9636
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC13649
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: