Provider Demographics
NPI:1376333211
Name:CHILEEN, KASIDY GRACE (AUD)
Entity type:Individual
Prefix:
First Name:KASIDY
Middle Name:GRACE
Last Name:CHILEEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 SE BISHOP BLVD STE 601
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5538
Mailing Address - Country:US
Mailing Address - Phone:509-334-5876
Mailing Address - Fax:
Practice Address - Street 1:825 SE BISHOP BLVD
Practice Address - Street 2:SUITE 601
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5538
Practice Address - Country:US
Practice Address - Phone:509-334-5876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist