Individual
KELLI BROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 IDAHO ST, SUITE 216, ELKO, NV 89801-3765
(775) 401-1811
Mailing address
121 COPPER ST, ELKO, NV 89801-4427
(775) 401-1811
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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