Individual
KELLY THIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
7124 FOSSIL LAKE ST, NORTH LAS VEGAS, NV 89084-4001
(954) 258-3303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3569
NV
207Q00000X
Family Medicine Physician
OS17069
FL
Other
Enumeration date
04/10/2017
Last updated
03/01/2024
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