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Organization
KAIROS PSYCHIATRY PLLC
Active
Organization
KAIROS PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAULEK TAWMGING DNP (OWNER)
(206) 486-0424
Entity
Organization
Contact information
Practice address
4105 CROWNWOOD DR, JACKSONVILLE, FL 32216-3610
(206) 486-0424
Mailing address
10950 SAN JOSE BLVD # 60-213, JACKSONVILLE, FL 32223-6688
(352) 339-8013
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2020
Last updated
09/08/2021
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