Healthcare Provider Details

I. General information

NPI: 1407547342
Provider Name (Legal Business Name): DR KAYLEE LYNN STEIN MD MSW BS PRN TELEMETRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65-5E STEINEL WAY 4TH
SAN FRANCISCO CA
94109
US

IV. Provider business mailing address

65-5E STEINEL WAY 4TH
SAN FRANCISCO CA
94109
US

V. Phone/Fax

Practice location:
  • Phone: 510-260-3984
  • Fax:
Mailing address:
  • Phone: 510-260-3984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KAYLEE LYNN STEIN
Title or Position: BEREAVEMENT SPECIALIST
Credential: MD MSW BS PRN
Phone: 510-260-3984