Individual ProviderKyla L KossowBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(253) 259-6087PECOS EnrollmentBased on the most recent information from CMS, provider Kyla L Kossow does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1205410180Provider TypeIndividualFull NameKossow, Kyla LGenderFemaleSole ProprietorNoEnumeration Date5/7/2021Last Updated5/7/2021Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(253) 259-6087FaxUnlisted FaxMailing LocationMailing Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer