Dr Kiley K Gallentine, PSYD is a
Counselor - Mental Health based in Pacific, Washington. Dr Kiley K Gallentine is licensed to practice in Washington (license number MC60619294) and her current practice location is
413 Wayne Ave Se, Pacific, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 240-8396.
NPI number for Dr Kiley K Gallentine is 1669837621 and her current mailing address is 413 Wayne Ave Se, Pacific, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669837621.
Healthcare Provider's Profile
Full Name | Dr Kiley K Gallentine |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 413 Wayne Ave Se, Pacific, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669837621
- Provider Enumeration Date: 12/17/2015
- Last Update Date: 12/17/2015
Medical Identifiers
Medical identifiers for Dr Kiley K Gallentine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669837621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MC60619294 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kiley K Gallentine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kiley K Gallentine, PSYD 413 Wayne Ave Se, Pacific, WA 98047-1453 Ph: (206) 240-8396 | Dr Kiley K Gallentine, PSYD 413 Wayne Ave Se, Pacific, WA 98047-1453 Ph: (206) 240-8396 |
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