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 provides Family Medicine Physician services 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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