| Ashley V Kelley Md Pc | |
|
9811 W Charleston Blvd Suite 2-512 Las Vegas NV 89117-7528 | |
| (405) 702-2259 | |
| Not Available |
| Full Name | Ashley V Kelley Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9811 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Ashley Kelley (OWNER) |
| Authorized Official Contact | 4057022259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley V Kelley Md Pc 9811 W Charleston Blvd Suite 2-512 Las Vegas NV 89117-7528 Ph: () - | Ashley V Kelley Md Pc 9811 W Charleston Blvd Suite 2-512 Las Vegas NV 89117-7528 Ph: (405) 702-2259 |
| NPI Number | 1134538259 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Medicare PECOS PAC ID | 2961767207 |
|---|---|
| Medicare Enrollment ID | O20180607001284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134538259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9041 (Nevada) | Primary |
| Provider Name | Ashley V Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205929320 PECOS PAC ID: 7517999600 Enrollment ID: I20050909000408 |
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