Kimble, Celesta

Kimble, Celesta is an sole proprietor health care provider with primary practice located at 1409 E Lake Mead Blvd , North Las Vegas NV 89030-7120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kimble, Celesta can be contacted via phone (702) 649-7711.

Contact Information

Primary practice address
1409 E Lake Mead Blvd North Las Vegas NV 89030-7120
Phone: (702) 649-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A-1179 Nevada

Profile Details

NPI number 1962172338
LBN Legal business name Kimble, Celesta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2021
Last updated Sep 17th, 2021 - about 4 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 1962172338 NPPES
Nevada MEDICAID 0000000000

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