Caley Kephart | Las Vegas, NV • PECOS Search

Caley Kephart

Counselor

Behavioral Health & Social Service Providers

2445 Fire Mesa St Ste 190, Las Vegas, NV 89128-9015

(702) 456-4262 (702) 467-7078

PECOS Enrollment

Based on the most recent information from CMS, provider Caley Kephart does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1164104741
Provider Type
Individual
Full Name
Kephart, Caley
Credential
CPC-I

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/3/2023
Last Updated
8/3/2023

Contact Information

Practice Location

2445 Fire Mesa St Ste 190, Las Vegas, NV 89128-9015

Unlisted Fax

Mailing Location

10658 Fairfield Ave, Las Vegas, NV 89183-4600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CI5196 Nevada