Provider Demographics
NPI:1023991791
Name:WESTLAKE, KAYLEE
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:WESTLAKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 W ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-4228
Mailing Address - Country:US
Mailing Address - Phone:307-856-9006
Mailing Address - Fax:307-856-8205
Practice Address - Street 1:223 W ADAMS AVE
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-4228
Practice Address - Country:US
Practice Address - Phone:307-856-9006
Practice Address - Fax:307-856-8205
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker