Laura Dutke Kiley | Safety Harbor, FL • PECOS Search

Laura Dutke Kiley

Social Worker

Behavioral Health & Social Service Providers

1128 4th St S, Safety Harbor, FL 34695-3805

PECOS Enrollment

Based on the most recent information from CMS, provider Laura Dutke Kiley 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 yesterday at 11:51 AM.

Profile Details

Provider ID
1710566112
Provider Type
Individual
Full Name
Kiley, Laura Dutke
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/5/2021
Last Updated
4/5/2021

Contact Information

Practice Location

1128 4th St S, Safety Harbor, FL 34695-3805

Unlisted Fax

Mailing Location

1128 4th St S, Safety Harbor, FL 34695-3805

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License SW5701 Florida