Healthcare Provider Details

I. General information

NPI: 1316749955
Provider Name (Legal Business Name): KYLIE CHERIE PIPER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 TIETON DR
YAKIMA WA
98902-3761
US

IV. Provider business mailing address

204 HILLCREST DR
SELAH WA
98942-1522
US

V. Phone/Fax

Practice location:
  • Phone: 509-746-1106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberN.A
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberN.A
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: