Healthcare Provider Details
I. General information
NPI: 1801401187
Provider Name (Legal Business Name): LEIGH ANNE KALAMAN DNP, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/13/2020
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 9TH AVE
SEATTLE WA
98104-2499
US
IV. Provider business mailing address
3901 NE 4TH ST STE 105
RENTON WA
98056-4100
US
V. Phone/Fax
- Phone: 206-744-3127
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | AP61461880 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0200X |
| Taxonomy | Critical Care Medicine Registered Nurse |
| License Number | RN60760874 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: