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NPI Code Detail

MEDICARE: KAELA PALMER

MEDICARE:   KAELA  PALMER
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1811508179
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAELA PALMER
Provider Business Mailing Address
First Line : 8999 TIERRA SANTA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-3680
Country : US
Telephone Number : 702-561-8698
Fax Number :
Provider Business Practice Location Address
First Line : 6355 S DURANGO DR UNIT 1298
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1879
Country : US
Telephone Number : 702-561-8698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2020
Last Update Date : 08/11/2020

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Directions to “ KAELA PALMER ” Practice Location

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