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NPI Code Detail

MEDICARE: KAYLA KIEU PHARM.D

MEDICARE: KAYLA KIEU PHARM.D
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
1183500000XPharmacist59977TX

General Provider Information

NPI Number : 1275138893
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA KIEU PHARM.D
Provider Business Mailing Address
First Line : 8335 WESTCHESTER DR STE 140
Second Line :
City : DALLAS
State : TX
Zip : 75225-5717
Country : US
Telephone Number : 214-361-7118
Fax Number :
Provider Business Practice Location Address
First Line : 8335 WESTCHESTER DR STE 140
Second Line :
City : DALLAS
State : TX
Zip : 75225-5717
Country : US
Telephone Number : 214-361-7118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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Directions to “ KAYLA KIEU PHARM.D” Practice Location

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