Kylie Casebolt, is a
Psychologist - Addiction (substance Use Disorder) based in Chehalis, Washington. Kylie Casebolt is licensed to practice in Washington (license number CO61277888) and her current practice location is
505 Se Adams Ave, Chehalis, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 280-8116.
NPI number for Kylie Casebolt is 1346967445 and her current mailing address is 505 Se Adams Ave, Chehalis, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346967445.
Healthcare Provider's Profile
| Full Name | Kylie Casebolt |
|---|
| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
|---|
| Location | 505 Se Adams Ave, Chehalis, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346967445
- Provider Enumeration Date: 10/20/2022
- Last Update Date: 10/20/2022
Medical Identifiers
Medical identifiers for Kylie Casebolt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346967445 | NPI | - | NPPES |
| 000000000 | Other | WA | ABHS |
| CO61277888 | Other | WA | NA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | CO61277888 (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. Kylie Casebolt 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 |
|---|
Kylie Casebolt,
505 Se Adams Ave,
Chehalis, WA 98532-3031
Ph: (360) 280-8116 | Kylie Casebolt,
505 Se Adams Ave,
Chehalis, WA 98532-3031
Ph: (360) 280-8116 |
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