MEDICARE: KAYLA MCCLELLAN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	372600000X	Adult Companion
3	385H00000X	Respite Care
4	253Z00000X	In Home Supportive Care Agency
5	376J00000X	Homemaker

General Provider Information

NPI Number	:	1518858000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA MCCLELLAN

Provider Business Mailing Address
First Line	:	122 DP RD APT 219
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-3418
Country	:	US
Telephone Number	:	505-695-0018
Fax Number	:	505-695-0018

Provider Business Practice Location Address
First Line	:	122 DP RD APT 219
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-3418
Country	:	US
Telephone Number	:	505-695-0018
Fax Number	:	505-695-0018

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

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	08/09/2025

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Directions to “ KAYLA MCCLELLAN ” Practice Location

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