Kayleigh Putnam, AUD | |
501 S Rancho Dr Ste A8, Las Vegas, NV 89106-4871 | |
(702) 605-9133 | |
Not Available |
Full Name | Kayleigh Putnam |
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Gender | Female |
Speciality | Audiologist |
Location | 501 S Rancho Dr Ste A8, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093492589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | A-3624 (Nevada) | Primary |
Provider Name | Desert Valley Audiology Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851618821 PECOS PAC ID: 8729252879 Enrollment ID: O20111129000634 |
Mailing Address | Practice Location Address |
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Kayleigh Putnam, AUD 501 S Rancho Dr Ste A8, Las Vegas, NV 89106-4871 Ph: () - | Kayleigh Putnam, AUD 501 S Rancho Dr Ste A8, Las Vegas, NV 89106-4871 Ph: (702) 605-9133 |
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