Individual
SAMANTHA KEMLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2490 PASEO VERDE PKWY STE 155, HENDERSON, NV 89074-7121
(702) 515-4009
(702) 552-3438
Mailing address
7425 W AZURE DR STE 140, LAS VEGAS, NV 89130-4425
(702) 515-4009
(702) 553-3438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2839
NV
Other
Enumeration date
10/02/2020
Last updated
12/07/2022
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