NPI 1003239112
Darris Kelly
Practice location
- Address
- 1017 E Basin Ave STE 3, Pahrump, NV 89060-4532
- Phone
- (775) 751-0444
Registered specialties
Rehabilitation Practitioner
Primary
Registry record
- NPI
- 1003239112
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jan 2014
- Record last updated
- 24 Jan 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.