NPI 1487918835

Kelly Charles O'Neill, BS

Practitioner Contractor Henderson, NV

Practice location

Address: 2325 Windmill Pkwy APT 1312, Henderson, NV 89074-5450
Phone: (702) 807-7725

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1487918835
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2012
Record last updated: 30 Jun 2012

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.