Individual
LILLIAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 S FORT APACHE RD STE 135-105, LAS VEGAS, NV 89148-6752
(702) 203-1964
Mailing address
10164 DRIFTWOOD ESTATE ST, LAS VEGAS, NV 89141-8789
(202) 820-0600
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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