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Individual

KELSEY ELIZABETH MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QBA

Contact information

Practice address
601 S RANCHO DR STE A10, LAS VEGAS, NV 89106-4898
(702) 437-4673
Mailing address
8400 W CHARLESTON BLVD APT 140, LAS VEGAS, NV 89117-9033
(203) 710-4147

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NV

Other

Enumeration date
06/03/2021
Last updated
06/03/2021
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