Individual ProviderKailey E CrommelinCase Manager/Care CoordinatorOther Service ProvidersPractice Address850 Mill St, Reno, NV 89502(775) 544-9143PECOS EnrollmentBased on the most recent information from CMS, provider Kailey E Crommelin 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 2 days ago.Profile DetailsProvider ID1821513409Provider TypeIndividualFull NameCrommelin, Kailey EGenderFemaleSole ProprietorNoEnumeration Date8/4/2017Last Updated5/21/2018Contact InformationPractice LocationPractice Address850 Mill St, Reno, NV 89502Phone(775) 544-9143FaxUnlisted FaxMailing LocationMailing Address850 Mill St, Reno, NV 89502-1413PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense02173-INevada