Miles, Wandra Kaye

Miles, Wandra Kaye is an sole proprietor health care provider with primary practice located at 1221 Madison St Suite 1520, Seattle WA 98104-3588. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Miles, Wandra Kaye can be contacted via phone (206) 292-6226.

Contact Information

Primary practice address
1221 Madison St Suite 1520 Seattle WA 98104-3588
Fax: (206) 623-8825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4971 Alaska
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD00037271 Washington

Profile Details

NPI number 1902968258
LBN Legal business name Miles, Wandra Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Nov 10th, 2021 - about 3 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 1902968258 NPPES
Washington MEDICAID 1107960

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