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NPI Code Detail

MEDICARE: KAILIN ISAACSON

MEDICARE: KAILIN ISAACSON
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
1101YP2500XProfessional Counselor0016054CO

General Provider Information

NPI Number : 1972101723
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAILIN ISAACSON
Provider Business Mailing Address
First Line : PO BOX 61385
Second Line :
City : DENVER
State : CO
Zip : 80206-8385
Country : US
Telephone Number : 720-232-6706
Fax Number :
Provider Business Practice Location Address
First Line : 1295 YORK ST
Second Line :
City : DENVER
State : CO
Zip : 80206-3008
Country : US
Telephone Number : 303-780-9191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2020
Last Update Date : 10/14/2020

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Directions to “ KAILIN ISAACSON ” Practice Location

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