Individual
MR. JORDAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
(702) 878-0070
Mailing address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
826262
NV
Other
Enumeration date
06/01/2020
Last updated
05/10/2025
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