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NPI Code Detail

MEDICARE: KAYLEIGH COLE MS

MEDICARE: KAYLEIGH COLE MS
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1639755986
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEIGH COLE MS
Provider Business Mailing Address
First Line : 1816 PORTOFINO DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6130
Country : US
Telephone Number : 760-433-6361
Fax Number :
Provider Business Practice Location Address
First Line : 1816 PORTOFINO DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6130
Country : US
Telephone Number : 760-433-6361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2021
Last Update Date : 09/28/2023

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Directions to “ KAYLEIGH COLE MS” Practice Location

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