Kayla R Peterson, RDN, CEP | |
17700 Se 272nd St # 190, Covington, WA 98042-4951 | |
(253) 301-5280 | |
(253) 627-4608 |
Full Name | Kayla R Peterson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 17700 Se 272nd St # 190, Covington, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477024537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DI60852957 (Washington) | Primary |
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
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Kayla R Peterson, RDN, CEP Po Box 5299, Ms: 820-5-pco, Tacoma, WA 98415-0299 Ph: () - | Kayla R Peterson, RDN, CEP 17700 Se 272nd St # 190, Covington, WA 98042-4951 Ph: (253) 301-5280 |
Mrs. Deborah Rae Dehaven, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17700 Se 272nd St Ste 300, Covington, WA 98042 Phone: 253-372-7011 | |
Farah Al-hawasli, MPH, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25505 157th Ave Se, Covington, WA 98042 Phone: 206-778-5829 | |
Gabrielle Guidry, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17307 Se 272nd St, 126, Covington, WA 98042 Phone: 253-639-2266 Fax: 253-639-8464 | |
Tiffany Nicole Lum, RD Dietitian Medicare: Medicare Enrolled Practice Location: 17307 Se 272nd St Ste 126, Covington, WA 98042 Phone: 425-690-3521 Fax: 425-690-9521 | |
Abigail R Czekaj, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 17700 Se 272nd St, Covington, WA 98042 Phone: 253-372-6500 |