Organization
WOMENS SPECIALTY CARE, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY ROSE KELLY M.D. (MEDICAL DIRECTOR)
(702) 255-3547
Entity
Organization
Contact information
Practice address
10105 BANBURRY CROSS DR, SUITE 460, LAS VEGAS, NV 89144-6646
(702) 255-3547
(702) 255-3549
Mailing address
5502 S FORT APACHE RD, SUITE 100, LAS VEGAS, NV 89148-7683
(702) 255-3547
(702) 921-2419
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
9040
NV
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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