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NPI Code Detail

MEDICARE: KALEELAH SCOTT

MEDICARE: KALEELAH SCOTT
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1952263485
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEELAH SCOTT
Provider Business Mailing Address
First Line : 910 N JEFFERSON ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6810
Country : US
Telephone Number : 904-427-7600
Fax Number :
Provider Business Practice Location Address
First Line : 910 N JEFFERSON ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6810
Country : US
Telephone Number : 904-427-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ KALEELAH SCOTT ” Practice Location

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