Individual
KYRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 PASEO VERDE PKWY STE 155, HENDERSON, NV 89074-7120
(702) 515-4009
Mailing address
9265 W RUSSELL RD # A358, LAS VEGAS, NV 89148-1359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-4002
NV
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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