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 34 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