Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaleidoscope Comprehensive Care

Organization Family Medicine Physician · NPI 1205658671

Kaleidoscope Comprehensive Care is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4200 W Charleston Blvd
Las Vegas, NV 89102-1625
Phone: (702) 373-5992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205658671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Samuel — Ceo · (702) 373-5992
NPI enumeratedOctober 28, 2024
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address4200 W Charleston Blvd, Las Vegas, NV 89102-1625

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