Individual
KENNETH JOSEPH SIBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 HOOVER AVE APT 153, LAS VEGAS, NV 89101-6835
(725) 520-9108
Mailing address
150 HOOVER AVE APT 153, LAS VEGAS, NV 89101-6835
(725) 520-9108
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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