NPI 1124863030
Shayde Fickett
Practice location
- Address
- 600 Royal St STE D, Kelso, WA 98626-1167
- Phone
- (360) 423-1509
- Mailing address
- 724 3rd Ave SW, Castle Rock, WA 98611-8113
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1124863030
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jul 2024
- Record last updated
- 1 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.