NPI 1023506102

Kimmie Webb

Practitioner Contractor Las Vegas, NV

Practice location

Address: 4216 Orion Ave, Las Vegas, NV 89110-3222
Phone: (702) 498-9248

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1023506102
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2018
Record last updated: 25 Apr 2018

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.