Divich, Kristen Jewell Eileen

Divich, Kristen Jewell Eileen is an individual health care provider with primary practice located at 7381 Prairie Falcon Rd , Las Vegas NV 89128-0811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Divich, Kristen Jewell Eileen can be contacted via phone (702) 646-5437.

Contact Information

Primary practice address
7381 Prairie Falcon Rd Las Vegas NV 89128-0811
Fax:
Website:

Profile Details

NPI number 1124388145
LBN Legal business name Divich, Kristen Jewell Eileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2012
Last updated May 23rd, 2012 - about 13 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.

Request for update

Popular Providers