Provider Demographics
NPI:1871077545
Name:KAZEE, KAITLIN (CMS)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:KAZEE
Suffix:
Gender:F
Credentials:CMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 BUSCH BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1790
Mailing Address - Country:US
Mailing Address - Phone:855-467-3465
Mailing Address - Fax:
Practice Address - Street 1:6555 BUSCH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1790
Practice Address - Country:US
Practice Address - Phone:855-467-3465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor