Individual
KELSEY NICOLE MOAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10001 S EASTERN AVE STE 108, HENDERSON, NV 89052-3908
(702) 952-3444
(702) 952-3494
Mailing address
400 N STEPHANIE ST STE 300, HENDERSON, NV 89014-6692
(702) 952-3350
(702) 952-3364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10221
TX
363A00000X
Physician Assistant
Primary
PA2435
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360238501
—
TX
Enumeration date
12/16/2015
Last updated
03/14/2024
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