Individual
KRISTINE S HERLEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2839 ST ROSE PKWY, STE 100, HENDERSON, NV 89052-4806
(702) 837-8988
(702) 990-5269
Mailing address
470 E 3900 S, STE 200, SALT LAKE CITY, UT 84107-2332
(801) 747-2800
(801) 747-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8322950-1206
UT
363AM0700X
Medical Physician Assistant
PA1211
NV
Other
Enumeration date
03/22/2010
Last updated
01/29/2019
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