Provider Demographics
NPI:1437594777
Name:WHITBECK, KAYLIE ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:KAYLIE
Middle Name:ANNE
Last Name:WHITBECK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KAYLIE
Other - Middle Name:ANNE
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:701 N 36TH ST STE 430
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8868
Mailing Address - Country:US
Mailing Address - Phone:206-547-0707
Mailing Address - Fax:
Practice Address - Street 1:701 N 36TH ST STE 430
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8868
Practice Address - Country:US
Practice Address - Phone:206-547-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60334044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor