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NPI Code Detail

MEDICARE: KISHA LEE-PAYLOR

MEDICARE: KISHA LEE-PAYLOR
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1548711039
Entity Type Code : Individual
Provider Name (Legal Business Name) : KISHA LEE-PAYLOR
Provider Business Mailing Address
First Line : 7033 E TUDOR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1262
Country : US
Telephone Number : 907-729-6799
Fax Number :
Provider Business Practice Location Address
First Line : 400 W BENSON BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-3829
Country : US
Telephone Number : 907-729-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2016
Last Update Date : 04/29/2025

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Directions to “ KISHA LEE-PAYLOR ” Practice Location

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