Individual
KIMBERLY JAYNE DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8530 W SUNSET RD STE 250, LAS VEGAS, NV 89113-2245
(702) 851-0792
Mailing address
8530 W SUNSET RD STE 250, LAS VEGAS, NV 89113-2245
(702) 851-0792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376254953
—
NV
Enumeration date
12/06/2022
Last updated
02/17/2023
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