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KAILEY ANNE MATULICH
NPI 1215579453
Technician - Attendant Care Provider in Edmonds, WA

Active since October 09, 2019
21630 84TH AVE W, EDMONDS, WA 98026(425) 774-3042 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kailey Anne Matulich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAILEY ANNE MATULICH (NPI 1215579453) is an individual attendant care provider provider in Edmonds, Washington and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1215579453
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameKAILEY ANNE MATULICH
Location Address21630 84TH AVE WEdmonds, WA 98026
Mailing Address19918 Damson RdLynnwood, WA 98036 · (425) 246-6234
Phone(425) 774-3042
Sole ProprietorYes
Enumeration DateOctober 9, 2019
✔ NPI 1215579453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
21630 84TH AVE W, Edmonds, WA 98026
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Other Names 1

Former Name (1)Kailey Anne Locke

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LORRI ANN MIZZELL
Technician (Attendant Care Provider)
21630 84TH AVE W
EDMONDS, WA 98026
Snohomish County (425) 774-3042
ALLEGRA REYNOLDS HCA
Technician (Attendant Care Provider)
21630 84TH AVE W
EDMUNDS, WA 98026
Snohomish County (206) 218-9685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kailey Matulich's NPI number?

The NPI number for Kailey Matulich is 1215579453. It was assigned to this individual provider in the NPPES registry on October 9, 2019. The provider is also known as Kailey Anne Locke.

Where is Kailey Matulich located?

Kailey Matulich practices at 21630 84th Ave W, Edmonds, WA 98026. The listed phone number is (425) 774-3042.

What is Kailey Matulich's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Kailey Matulich was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.