Individual
KATHLEEN ANN STILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 E RUSSELL RD, LAS VEGAS, NV 89120-2201
(702) 236-8920
Mailing address
3430 E RUSSELL RD, LAS VEGAS, NV 89120-2201
(702) 435-3463
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4100357135
—
NV
Enumeration date
10/16/2019
Last updated
10/16/2019
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