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NPI Code Detail

MEDICARE: KALEB REDD

MEDICARE: KALEB REDD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1144186917
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEB REDD
Provider Business Mailing Address
First Line : 3500 LAKESIDE CT STE 145
Second Line :
City : RENO
State : NV
Zip : 89509-4866
Country : US
Telephone Number : 775-359-7272
Fax Number : 775-825-1344
Provider Business Practice Location Address
First Line : 3500 LAKESIDE CT STE 145
Second Line :
City : RENO
State : NV
Zip : 89509-4866
Country : US
Telephone Number : 775-359-7272
Fax Number : 775-825-1344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2025
Last Update Date : 12/24/2025

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Directions to “ KALEB REDD ” Practice Location

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