Organization
KIETRE MEDICAL AND BEHAVIORAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKISHA TOUSSAINT APRN, PMHNP, FNP (MANAGING MEMBER)
(702) 670-0280
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
(702) 670-0280
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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