Pamela Anne Kilby
Individual provider Active NPI Driver · Woodinville, WA
NPI 1750105532 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1750105532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 12207 198TH Ave NE
Woodinville, WA 98077-5650 - Phone
- (425) 283-8346
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
12207 198TH Ave NE
Woodinville, WA 98077-5650
Mailing address
12207 198TH Ave NE
Woodinville, WA 98077-5650
Phone (425) 283-8346
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.