MEDICARE: KAITLYN LEMES ALBRECHT DO

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
1	208000000X	Pediatrics Physician	OS18671	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386103216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN LEMES ALBRECHT DO

Provider Business Mailing Address
First Line	:	3940 GADSDEN RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-6307
Country	:	US
Telephone Number	:	954-604-0530
Fax Number	:

Provider Business Practice Location Address
First Line	:	13453 N MAIN ST STE 503
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-2774
Country	:	US
Telephone Number	:	904-491-0177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	08/20/2025

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