Healthcare Provider Details
I. General information
NPI: 1003534983
Provider Name (Legal Business Name): KALEIGH KAILING DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2022
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 BRICKELL AVE STE 900
MIAMI FL
33131-2979
US
IV. Provider business mailing address
801 BRICKELL AVE STE 900
MIAMI FL
33131-2979
US
V. Phone/Fax
- Phone: 904-228-1097
- Fax:
- Phone: 904-228-1097
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN11029185 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APRN11029185 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: