Organization
SOLE TO SOUL PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY J WOODS DPM (DPM)
(702) 228-1162
Entity
Organization
Contact information
Practice address
3815 S JONES BLVD STE 6, LAS VEGAS, NV 89103
(702) 228-1162
(702) 312-3932
Mailing address
PO BOX 30236, LAS VEGAS, NV 89173-0236
(702) 228-1162
(702) 312-3932
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9905
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002102010
—
NV
Enumeration date
11/02/2007
Last updated
06/28/2018
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