Individual
KELLE JO AIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6940 SIERRA CENTER PKWY, RENO, NV 89511-2209
(775) 393-2200
(775) 851-1456
Mailing address
PO BOX 1194, ZEPHYR COVE, NV 89448-1194
(752) 870-6527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1125
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11994056
CAQH
—
Enumeration date
07/29/2008
Last updated
04/19/2021
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