Healthcare Provider Details

I. General information

NPI: 1861311201
Provider Name (Legal Business Name): KAYSON RAIN WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 N HAMILTON ST
SPOKANE WA
99207-2474
US

IV. Provider business mailing address

4810 E BIG MEADOWS RD
CHATTAROY WA
99003-8585
US

V. Phone/Fax

Practice location:
  • Phone: 509-743-8518
  • Fax:
Mailing address:
  • Phone: 509-743-8518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: