Individual ProviderKaitlin KaluznyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000(509) 833-5309PECOS EnrollmentBased on the most recent information from CMS, provider Kaitlin Kaluzny 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 8 days ago.Profile DetailsProvider ID1205682036Provider TypeIndividualFull NameKaluzny, KaitlinGenderFemaleSole ProprietorNoEnumeration Date4/24/2024Last Updated5/7/2024Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address4906 Douglas Dr, Yakima, WA 98908-2556Phone(509) 833-5309FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer