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Organization

MEDELITE CAPITAL, LLC

Active
Other names
OrthoCorp
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER STEPHEN KELLY (OWNER)
(702) 960-5760
Entity
Organization

Contact information

Practice address
5528 S FORT APACHE RD, LAS VEGAS, NV 89148-7657
(702) 960-5760
(702) 792-8639
Mailing address
5528 S FORT APACHE RD, LAS VEGAS, NV 89148-7657
(702) 960-5760
(702) 792-8639

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E0183282018-6
ENTITY NUMBER
NV
Enumeration date
07/25/2019
Last updated
07/25/2019
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