Individual
KELLEN R PROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 SNYDER AVE, CARSON CITY, NV 89701-7812
(775) 887-9390
Mailing address
8521 SILVER SHORES DR, RENO, NV 89506-2151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN78226
NV
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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