Individual
BIANCA NICOLE KENNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2809 W CHARLESTON BLVD # 150, LAS VEGAS, NV 89102-1998
(702) 476-9999
(702) 946-1343
Mailing address
9033 W SAHARA AVE, LAS VEGAS, NV 89117-5745
(702) 476-9999
(702) 946-1343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2718
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
04/28/2026
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