Moakler, Kelsey Nicole

Moakler, Kelsey Nicole is an individual health care provider with primary practice located at 10001 S Eastern Ave Ste 108 , Henderson NV 89052-3908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moakler, Kelsey Nicole can be contacted via phone (702) 952-3444.

Contact Information

Primary practice address
10001 S Eastern Ave Ste 108 Henderson NV 89052-3908
Phone: (702) 952-3444
Fax: (702) 952-3494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10221 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2435 Nevada

Profile Details

NPI number 1528423647
LBN Legal business name Moakler, Kelsey Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2015
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528423647 NPPES
Texas MEDICAID 360238501

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