Individual
ELISE KENMEGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4423 W FLAMINGO RD, LAS VEGAS, NV 89103-3703
(702) 458-1137
(702) 458-1423
Mailing address
9175 EVERDON CT, LAS VEGAS, NV 89148-2664
(702) 689-3175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN15224
NV
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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