Provider Demographics
NPI:1619324258
Name:CYR, KAYLEIGH (LPN)
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:CYR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1678 ZYLSTRA RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-8584
Mailing Address - Country:US
Mailing Address - Phone:425-299-5801
Mailing Address - Fax:
Practice Address - Street 1:1678 ZYLSTRA RD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-8584
Practice Address - Country:US
Practice Address - Phone:425-299-5801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELPN12872164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse