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Contact Information

KAITLIN AMICONE
34716 1ST AVE S
FEDERAL WAY, WA98003-6760
 Phone: 253-517-7058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KAITLIN AMICONE · (Female)

NPI Number 1497302103
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2019
Last updated 05/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60963712
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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