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Organization

KIETRE MEDICAL AND BEHAVIORAL CLINIC

Active
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Organization

KIETRE MEDICAL AND BEHAVIORAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AKISHA TOUSSAINT APRN, PMHNP, FNP (MANAGING MEMBER)
(725) 527-7307
Entity
Organization

Contact information

Practice address
17 SUMMIT CREEK AVE, N LAS VEGAS, NV 89031-6856
(702) 670-0280
Mailing address
17 SUMMIT CREEK AVE, N LAS VEGAS, NV 89031-6856
(725) 527-7307
(702) 857-6042

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—

Other

Enumeration date
06/09/2025
Last updated
09/27/2026
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