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NPI Code Detail

MEDICARE: MISS MELISSA LYNN KEHOE I

MEDICARE: MISS MELISSA LYNN KEHOE I
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1528552791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MELISSA LYNN KEHOE I
Provider Business Mailing Address
First Line : 777 N RAINBOW BLVD STE 360
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1188
Country : US
Telephone Number : 702-281-7357
Fax Number : 702-978-6215
Provider Business Practice Location Address
First Line : 777 N RAINBOW BLVD STE 360
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-1188
Country : US
Telephone Number : 702-281-7357
Fax Number : 702-978-6215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 06/20/2018

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Directions to “ MISS MELISSA LYNN KEHOE I ” Practice Location

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