Individual ProviderKevin Tayvon FletcherCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Tayvon Fletcher does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:16 AM.Profile DetailsProvider ID1528522398Provider TypeIndividualFull NameFletcher, Kevin TayvonGenderMaleSole ProprietorNoEnumeration Date1/25/2019Last Updated1/25/2019Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850FaxUnlisted FaxMailing LocationMailing Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer