Individual
KELLY VASHON LIGGONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7210 W LAKE MEAD BLVD STE 4, LAS VEGAS, NV 89128-8353
(702) 202-4460
Mailing address
8005 SAN MATEO ST, NORTH LAS VEGAS, NV 89085-2304
(317) 833-5620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
873589
NV
Other
Enumeration date
12/08/2023
Last updated
03/07/2024
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