Provider Demographics
NPI:1790047868
Name:SEDARSKY, KAYE EVELYN (MD)
Entity type:Individual
Prefix:DR
First Name:KAYE
Middle Name:EVELYN
Last Name:SEDARSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAYE
Other - Middle Name:EVELYN
Other - Last Name:DOWDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:301 W POPLAR ST STE 50
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2800
Mailing Address - Country:US
Mailing Address - Phone:509-897-8050
Mailing Address - Fax:509-897-8051
Practice Address - Street 1:301 W POPLAR ST STE 50
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2800
Practice Address - Country:US
Practice Address - Phone:509-897-8050
Practice Address - Fax:509-897-8051
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012560402084N0400X
WAMD615183512084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology