MEDICARE: KOLETTE SINGLETON HIS

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
1	237700000X	Hearing Instrument Specialist	4277	NV

General Provider Information

NPI Number	:	1609759430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KOLETTE SINGLETON HIS

Provider Business Mailing Address
First Line	:	9430 W LAKE MEAD BLVD STE 11
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8338
Country	:	US
Telephone Number	:	702-527-6066
Fax Number	:	702-527-6068

Provider Business Practice Location Address
First Line	:	9430 W LAKE MEAD BLVD STE 11
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8338
Country	:	US
Telephone Number	:	702-527-6066
Fax Number	:	702-527-6068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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