Green, Kelly Newton
Green, Kelly Newton is an sole proprietor health care provider with primary practice located at 620 Shadow Ln , Las Vegas NV 89106-4119. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Green, Kelly Newton can be contacted via phone (702) 388-4700.Contact Information
Primary practice address
620 Shadow Ln
Las Vegas NV 89106-4119
Phone: (702) 388-4700
Fax: (702) 388-4627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10331 | Nevada |
Profile Details
| NPI number | 1942422118 |
|---|---|
| LBN Legal business name | Green, Kelly Newton |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942422118 | NPPES |
| Nevada | Other | 10331 | STATE LICENSE |
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