Provider Demographics
NPI:1679353858
Name:LIVINGSTON, KAYLEE-ANNE MARIE
Entity Type:Individual
Prefix:
First Name:KAYLEE-ANNE
Middle Name:MARIE
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N SIERRA ST UNIT 40814
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89504-2647
Mailing Address - Country:US
Mailing Address - Phone:530-782-1225
Mailing Address - Fax:
Practice Address - Street 1:1135 TERMINAL WAY STE 208
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2168
Practice Address - Country:US
Practice Address - Phone:775-686-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide