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Contact Information

KAITLIN G BOCK, ARNP
1299 BISHOP RD
CHEHALIS, WA98532-8758
 Phone: 360-748-0211
 Fax: 360-740-4170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KAITLIN G BOCK · (Female)

NPI Number 1720248701
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/12/2008
Last updated 04/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # RN00168048
  • WA Medicaid 9658212
  • WA Other 0239626 LABOR & INDUSTRIES
Hospital affiliation(s)
  • MARK REED HOSPITAL & HEALTHCARE CLINIC - (Critical Access)
    600 EAST MAIN STREET
    ELMA, WA 98541
  • MASON GENERAL HOSPITAL & FAMILY OF CLINICS - (Critical Access)
    901 MT VIEW DRIVE
    SHELTON, WA 98584
  • PROVIDENCE CENTRALIA HOSPITAL - (Acute Care)
    914 S SCHEUBER ROAD
    CENTRALIA, WA 98531
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
  • WILLAPA HARBOR HOSPITAL - (Critical Access)
    800 ALDER STREET
    SOUTH BEND, WA 98586
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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