Kitaji, Kailynn

Kitaji, Kailynn is an individual health care provider with primary practice located at 1314 Sw Kalama Ave , Redmond OR 97756-3054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kitaji, Kailynn can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
1314 Sw Kalama Ave Redmond OR 97756-3054
Phone: (541) 322-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L6563 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW 28762 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1336216977
LBN Legal business name Kitaji, Kailynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Mar 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336216977 NPPES
California Other 41933 UNICARE NUMBER

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