Individual
MR. KELLY B SOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228
(702) 259-1252
Mailing address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228
(702) 259-1252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1082
NV
Other
Enumeration date
11/13/2006
Last updated
04/30/2021
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