Individual
MCKELL KELLOGG PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5320 S RAINBOW BLVD STE 250, LAS VEGAS, NV 89118-1807
(702) 671-6480
(702) 671-6481
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-2315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2909
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/28/2022
Last updated
12/11/2023
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