Provider Demographics
NPI:1407430762
Name:CHERB, KAYLIN AMANDA
Entity Type:Individual
Prefix:
First Name:KAYLIN
Middle Name:AMANDA
Last Name:CHERB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 W LIBERTY ST APT C
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2034
Mailing Address - Country:US
Mailing Address - Phone:925-339-2583
Mailing Address - Fax:
Practice Address - Street 1:1855 SELMI DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-4800
Practice Address - Country:US
Practice Address - Phone:775-247-3310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider