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NPI Code Detail

MEDICARE: JAMESON COLE KAULAITY

MEDICARE: JAMESON COLE KAULAITY
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
1106S00000XBehavior TechnicianNM

General Provider Information

NPI Number : 1497693261
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMESON COLE KAULAITY
Provider Business Mailing Address
First Line : PO BOX 3054
Second Line :
City : SHIPROCK
State : NM
Zip : 87420-3054
Country : US
Telephone Number : 404-400-5004
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 3054
Second Line :
City : SHIPROCK
State : NM
Zip : 87420-3054
Country : US
Telephone Number : 404-400-5004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ JAMESON COLE KAULAITY ” Practice Location

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