MEDICARE: KRISTOFER DAMICO

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1972330512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTOFER DAMICO

Provider Business Mailing Address
First Line	:	10115 JEFFREYS ST APT 2001
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7912
Country	:	US
Telephone Number	:	407-342-9701
Fax Number	:

Provider Business Practice Location Address
First Line	:	10115 JEFFREYS ST APT 2001
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7912
Country	:	US
Telephone Number	:	407-342-9701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	09/17/2024

Similar Medicare Providers

1316459969 — MR. KASSIM KAIL CARNEY M.S
Practice Location Address:

7912 HOWARD DADE AVE
LAS VEGAS, NV
89129-5557

Practice Phone: 210-577-2091
Practice Fax:

1871094888 — DEJA AXARIA TERRY
Practice Location Address:

4640 VEGAS VALLEY DR APT 1095
LAS VEGAS, NV
89121-7912

Practice Phone: 702-910-8911
Practice Fax:

1992399208 — JASMINE LITTLE
Practice Location Address:

205 HONEY LOCUST DR
NORTH LAS VEGAS, NV
89031-7912

Practice Phone: 702-524-5823
Practice Fax:

1548862600 — ANTHONY LOPEZ
Practice Location Address:

5344 GENESIS LN TRLR B
LAS CRUCES, NM
88012-7912

Practice Phone: 575-993-4290
Practice Fax:

1215282694 — UGOCHUKWU ODO
Practice Location Address:

1655 E CACTUS AVE
LAS VEGAS, NV
89183-7722

Practice Phone: 702-781-9100
Practice Fax:

1013919083 — DR. LOUIS CHRISTOPHER TRIPOLI M.D.
Practice Location Address:

338 BRABANT AVE
LAS VEGAS, NV
89183-4269

Practice Phone: 314-607-1565
Practice Fax: 314-405-9629

Directions to “ KRISTOFER DAMICO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.