Individual
JARED W KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 E CINCINNATI AVE, LAS VEGAS, NV 89104-5210
(702) 812-7690
Mailing address
4140 E CINCINNATI AVE, LAS VEGAS, NV 89104-5210
(702) 812-7690
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NV
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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