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NPI Code Detail

MEDICARE: KAILEY MAE PARKER RADT

MEDICARE: KAILEY MAE PARKER RADT
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
1101Y00000XCounselorR1598570225CA

General Provider Information

NPI Number : 1336071331
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILEY MAE PARKER RADT
Provider Business Mailing Address
First Line : 6610 BETTY ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-5604
Country : US
Telephone Number : 661-529-1136
Fax Number :
Provider Business Practice Location Address
First Line : 407 HELEN WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-6112
Country : US
Telephone Number : 661-832-3098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ KAILEY MAE PARKER RADT” Practice Location

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