Kei Therapy Llc | |
5135 Camino Al Norte Ste 276 North Las Vegas NV 89031-2420 | |
(708) 856-1092 | |
Not Available |
Full Name | Kei Therapy Llc |
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Speciality | Social Worker |
Location | 5135 Camino Al Norte Ste 276, North Las Vegas, Nevada |
Authorized Official Name and Position | Cheronda Pinkard (CLINICAL SOCIAL WORKER/PROVIDER) |
Authorized Official Contact | 7088561092 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kei Therapy Llc 5135 Camino Al Norte Ste 276 North Las Vegas NV 89031-2420 Ph: (708) 856-1092 | Kei Therapy Llc 5135 Camino Al Norte Ste 276 North Las Vegas NV 89031-2420 Ph: (708) 856-1092 |
NPI Number | 1952065872 |
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Provider Enumeration Date | 10/27/2021 |
Last Update Date | 04/19/2023 |
Certification Date | 04/19/2023 |
Medicare PECOS PAC ID | 7911397765 |
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Medicare Enrollment ID | O20211209001300 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952065872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Cheronda G Pinkard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558772202 PECOS PAC ID: 8820488679 Enrollment ID: I20211209001368 |
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