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NPI Code Detail

MEDICARE: D KLAN INC

MEDICARE: D KLAN INC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1861818643
Entity Type Code : Organization
Provider Name (Legal Business Name) : D KLAN INC
Provider Business Mailing Address
First Line : 170 S GREEN VALLEY PKWY STE 300
Second Line :
City : HENDERSON
State : NV
Zip : 89012-3145
Country : US
Telephone Number : 702-844-6288
Fax Number : 702-825-8984
Provider Business Practice Location Address
First Line : 170 S GREEN VALLEY PKWY STE 300
Second Line :
City : HENDERSON
State : NV
Zip : 89012-3145
Country : US
Telephone Number : 702-844-6288
Fax Number : 702-825-8984
Authorized Official
Title or Position : CEO/OWNER
Name : POI AQUINO
Credential :
Telephone Number : 702-844-6288
Provider Enumeration Date : 03/17/2014
Last Update Date : 07/14/2025

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Directions to “D KLAN INC ” Practice Location

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