Individual
KORRIN TAYLOR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 S EASTERN AVE STE 150, HENDERSON, NV 89052-5576
(702) 624-0499
Mailing address
PO BOX 458, LOGANDALE, NV 89021-0458
(702) 624-0499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
03/27/2025
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