| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAILEE PAIGE FURTADO | 1598382731 | 2020-07-04 |
Kailee Paige Furtado is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598382731. Registration indicates Kailee Paige Furtado is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Kailee Paige Furtado |
| Practice Office Address | 5323 HARRY HINES BLVD DALLAS, TX US |
| Practice Office Telephone | 2146483111 |
| Mailing Address | 741 S MONROE AVE FRESNO, CA 937069572 US |
| Business Telephone | 5594486797 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |