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NPI Code Detail

MEDICARE: KALEE GOLDEN RN

MEDICARE:   KALEE  GOLDEN  RN
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
1163W00000XRegistered Nurse246924NC
2363LF0000XFamily Nurse Practitioner5019849NC

General Provider Information

NPI Number : 1265799159
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEE GOLDEN RN
Provider Business Mailing Address
First Line : 1188 SKYLAND DR
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 828-339-2273
Fax Number : 828-339-2274
Provider Business Practice Location Address
First Line : 1188 SKYLAND DR
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 828-339-2273
Fax Number : 828-339-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2012
Last Update Date : 10/03/2024

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