Provider Demographics
NPI:1013708205
Name:GLADEM-WEST, KAYLA LEANNE
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:LEANNE
Last Name:GLADEM-WEST
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 1:1437 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2101
Mailing Address - Country:US
Mailing Address - Phone:206-503-3628
Mailing Address - Fax:
Practice Address - Street 1:1437 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2101
Practice Address - Country:US
Practice Address - Phone:206-503-3628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator