Individual
KELSI WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 LAKE ST STE 15, RENO, NV 89501-1517
(775) 450-4102
Mailing address
718 HASTINGS WAY, FERNLEY, NV 89408-9152
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
E-54656
NV
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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