Individual
CAROLYN J MCKELVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3012 S. DURANGO DR., SUITE 1, LAS VEGAS, NV 89117
(702) 366-0640
(702) 366-9075
Mailing address
3012 S. DURANGO DR., SUITE 2, LAS VEGAS, NV 89117
(702) 366-1655
(702) 942-4388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5557
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002099
—
NV
Enumeration date
02/09/2006
Last updated
07/20/2011
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