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NPI Code Detail

MEDICARE: KELLIE L KAHVECI

MEDICARE: KELLIE L KAHVECI
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
1363LA2200XAdult Health Nurse Practitioner505933TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28Y2071OTHERTXBCBS

General Provider Information

NPI Number : 1316968225
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE L KAHVECI
Provider Business Mailing Address
First Line : 5730 EXECUTIVE DR STE 230
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1762
Country : US
Telephone Number : 972-232-8080
Fax Number : 800-281-9558
Provider Business Practice Location Address
First Line : 8000 FRANKFORD RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-6894
Country : US
Telephone Number : 972-252-8080
Fax Number : 800-281-9558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 02/25/2026

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Directions to “ KELLIE L KAHVECI ” Practice Location

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