Organization
SANDAL KELLY PHD
Active
Organization
SANDAL KELLY PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDAL ARLILLIAN KELLY PHD, LMVT (CEO)
(702) 255-0056
Entity
Organization
Contact information
Practice address
6531 PLUM ORCHARD CIR, LAS VEGAS, NV 89142-0966
(702) 255-0056
(702) 255-0076
Mailing address
6531 PLUM ORCHARD CIR, LAS VEGAS, NV 89142-0966
(702) 255-0056
(702) 255-0076
Taxonomy
Speciality
Code
Description
License number
State
261QM1000X
Migrant Health Clinic/Center
Primary
MFT 01002
NV
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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