Organization
KALEIDOSCOPE COMPREHENSIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SAMUEL (CEO)
(702) 373-5992
Entity
Organization
Contact information
Practice address
4200 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1625
(702) 373-5992
Mailing address
4200 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1625
(702) 373-5992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
03/06/2025
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