Provider Demographics
NPI:1750576724
Name:KAZAL, KAYCE DAWN
Entity type:Individual
Prefix:
First Name:KAYCE
Middle Name:DAWN
Last Name:KAZAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAYCE
Other - Middle Name:DAWN
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 EAST F ST
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-1710
Mailing Address - Country:US
Mailing Address - Phone:661-822-8223
Mailing Address - Fax:661-823-9347
Practice Address - Street 1:113 E F ST
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-1710
Practice Address - Country:US
Practice Address - Phone:661-822-8223
Practice Address - Fax:661-823-9347
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator