Individual provider · NPI-1
Kaitlin Barela, kaitlin barela CSFA
Specialist/Technologist, Other, Surgical Assistant · Henderson, NV
NPI number1093440414
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1093440414
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Barela
- Credential
- kaitlin barela CSFA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 196514 | NV | Yes |
| 246ZX2200X | Specialist/Technologist, Other, Orthopedic Assistant | 196514 | NV |
Practice location
1050 W Galleria DrHenderson, NV 89011-4800
Phone 702-963-7000
Mailing address
6812 Mahogany Meadows AveLas Vegas, NV 89122-8603
Phone 657-378-8301
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