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NPI Code Detail

MEDICARE: KALOS WELLNESS

MEDICARE: KALOS WELLNESS
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
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1215890173
Entity Type Code : Organization
Provider Name (Legal Business Name) : KALOS WELLNESS
Provider Business Mailing Address
First Line : 2431 GLENALLAN AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-3541
Country : US
Telephone Number : 301-679-3095
Fax Number : 301-597-7356
Provider Business Practice Location Address
First Line : 2431 GLENALLAN AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-3541
Country : US
Telephone Number : 301-679-3095
Fax Number : 301-597-7356
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : CRISTA ONEIL
Credential : NP
Telephone Number : 301-679-3095
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “KALOS WELLNESS ” Practice Location

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