Kinnikin, Valerie Ilaine
Kinnikin, Valerie Ilaine is an sole proprietor health care provider with primary practice located at 4000 E Charleston Blvd B130, Las Vegas NV 89104-6659. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kinnikin, Valerie Ilaine can be contacted via phone (702) 968-4000.Contact Information
Primary practice address
4000 E Charleston Blvd B130
Las Vegas NV 89104-6659
Phone: (702) 968-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2173C | Nevada |
Profile Details
| NPI number | 1740230010 |
|---|---|
| LBN Legal business name | Kinnikin, Valerie Ilaine |
| Credentials | LCSW MAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Jun 10th, 2008 - about 17 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 | 1740230010 | NPPES |
| Nevada | MEDICAID | 100507624 |
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