Individual
SIMON KAITEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3312 TEASLEY LN # 100, DENTON, TX 76210-8315
(940) 222-2399
Mailing address
3809 OCALA LN, MCKINNEY, TX 75070-0224
(214) 945-6561
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141844
TX
Other
Enumeration date
07/12/2019
Last updated
09/25/2024
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