Individual
DR. KYRAH L BACOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, MDN, LMTBW
Contact information
Practice address
MIKE O'CALLAGHAN MILITARY MEDICAL CENTER, 4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191
(702) 679-9788
Mailing address
MIKE O'CALLAGHAN MILITARY MEDICAL CENTER, 4700 LAS VEGAS N, LAS VEGAS, NV 89141-8762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
B01882
NV
202D00000X
Integrative Medicine Physician
Primary
B01882
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202D00000X
INTEGRATIVE MEDICINE PHYSICIAN
NV
Enumeration date
12/01/2021
Last updated
05/22/2024
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