Dr. Kyrah L Bacote, DC, MDN, LMTBW
Integrative Medicine in Las Vegas, NV. Individual provider (NPI-1).
NPI number1205594710
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1205594710
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kyrah L Bacote
- Credential
- DC, MDN, LMTBW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2021
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202D00000X | Integrative Medicine | B01882 | NV | Yes |
| 111N00000X | Chiropractor | B01882 | NV |
Practice location
Mike O'Callaghan Military Medical Center4700 Las Vegas Blvd N
Las Vegas, NV 89191
Phone 702-679-9788
Mailing address
Mike O'Callaghan Military Medical Center4700 Las Vegas N
Las Vegas, NV 89141-8762
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