Mortimer, Kortney

Mortimer, Kortney is an individual health care provider with primary practice located at 2316 W Charleston Blvd , Las Vegas NV 89102-2149. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mortimer, Kortney can be contacted via phone (702) 877-8330.

Contact Information

Primary practice address
2316 W Charleston Blvd Las Vegas NV 89102-2149
Phone: (702) 877-8330
Fax: (702) 877-8312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1339 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1339 Nevada

Profile Details

NPI number 1467638809
LBN Legal business name Mortimer, Kortney
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Mar 24th, 2023 - about 3 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 1467638809 NPPES
Nevada MEDICAID 1467638809

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