Individual
KEITH KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5306
(702) 248-8866
Mailing address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5306
(702) 248-8866
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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