Individual
RONALD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3019 SEASONS AVE, HENDERSON, NV 89074-6992
(702) 423-7242
Mailing address
3019 SEASONS AVE, HENDERSON, NV 89074-6992
(702) 423-7242
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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