Provider Demographics
NPI:1023442183
Name:SCAMALDO, KINSLEE BROOK (PA)
Entity type:Individual
Prefix:
First Name:KINSLEE
Middle Name:BROOK
Last Name:SCAMALDO
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Gender:F
Credentials:PA
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Mailing Address - Street 1:6140 JO MARCY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2110
Mailing Address - Country:US
Mailing Address - Phone:702-499-7732
Mailing Address - Fax:702-576-9609
Practice Address - Street 1:8670 W CHEYENNE AVE STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7457
Practice Address - Country:US
Practice Address - Phone:705-576-9608
Practice Address - Fax:702-576-9609
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant