Healthcare Provider Details

I. General information

NPI: 1003796368
Provider Name (Legal Business Name): KAITLYN MARIE DRAFTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 SAND POINT WAY NE
SEATTLE WA
98115-7869
US

IV. Provider business mailing address

4516 UNION BAY PL NE APT 408
SEATTLE WA
98105-4042
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax:
Mailing address:
  • Phone: 619-495-7172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: