Individual
BRANDON DESEAN NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
4200 S VALLEY VIEW BLVD UNIT 1035J, LAS VEGAS, NV 89103-4031
(910) 747-7179
Mailing address
4200 S VALLEY VIEW BLVD UNIT 1035J, LAS VEGAS, NV 89103-4031
(910) 747-7179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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