Provider Demographics
NPI:1053867788
Name:WHITNEY, KAYLA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:ELIZABETH
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6432 STATE HIGHWAY 303 NE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-2714
Mailing Address - Country:US
Mailing Address - Phone:360-307-8741
Mailing Address - Fax:
Practice Address - Street 1:6432 STATE HIGHWAY 303 NE
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98311-2714
Practice Address - Country:US
Practice Address - Phone:360-307-8741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2019-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60653317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist