National Provider Identifier Database

SANDAL KELLY PHD
Migrant Health


Contact Information

SANDAL KELLY PHD
6531 PLUM ORCHARD CIR
LAS VEGAS, NV89142-0966
Phone: 702-255-0056
Fax: 702-255-0076
Website:
Specialty Taxonomy Code
* Migrant Health 261QM1000X

* Indicates primary specialty

NPI Profile & details for SANDAL KELLY PHD

NPI Number 1760811798
Legal business name
LBN
SANDAL KELLY PHD
Authorized official SANDAL KELLY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/12/2013
Last updated 11/12/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: MFT 01002

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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