| Kameo Health Wellness And Beauty Pllc | |
|
3490 W 3300 S Apt 2 West Haven UT 84401-9232 | |
| (801) 726-3738 | |
| Not Available |
| Full Name | Kameo Health Wellness And Beauty Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3490 W 3300 S Apt 2, West Haven, Utah |
| Authorized Official Name and Position | Mark Duwayne Deis (OWNER) |
| Authorized Official Contact | 8017263738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kameo Health Wellness And Beauty Pllc 3490 W 3300 S Apt 2 West Haven UT 84401-9232 Ph: () - | Kameo Health Wellness And Beauty Pllc 3490 W 3300 S Apt 2 West Haven UT 84401-9232 Ph: (801) 726-3738 |
| NPI Number | 1043092927 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 3476996323 |
|---|---|
| Medicare Enrollment ID | O20240207002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043092927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Mark Duwayne Deis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821752676 PECOS PAC ID: 5799968483 Enrollment ID: I20221207002912 |
| Provider Name | Taffie Evans Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093966145 PECOS PAC ID: 3577938323 Enrollment ID: I20230407001383 |