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NPI Code Detail

MEDICARE: KALEB TAYLOR

MEDICARE:   KALEB  TAYLOR
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
1101YM0800XMental Health CounselorUT

General Provider Information

NPI Number : 1881553600
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEB TAYLOR
Provider Business Mailing Address
First Line : 2502 W STONEHAVEN LOOP
Second Line :
City : LEHI
State : UT
Zip : 84048-4895
Country : US
Telephone Number : 440-344-8272
Fax Number :
Provider Business Practice Location Address
First Line : 2502 W STONEHAVEN LOOP
Second Line :
City : LEHI
State : UT
Zip : 84048-4895
Country : US
Telephone Number : 440-344-8272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ KALEB TAYLOR ” Practice Location

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