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NPI Code Detail

MEDICARE: KAYLASH KESHVALA

MEDICARE: KAYLASH KESHVALA
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
1314000000XSkilled Nursing Facility1657-27WI

General Provider Information

NPI Number : 1437525235
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLASH KESHVALA
Provider Business Mailing Address
First Line : 3020 W WANDA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-4154
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1414 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3018
Country : US
Telephone Number : 414-277-8854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2015
Last Update Date : 08/15/2015

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Directions to “ KAYLASH KESHVALA ” Practice Location

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