Most Relevant Information
Provider Data
| NPI Number: | 1003239112 |
| Provider Name: | DARRIS KELLY |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2014 |
| Last Updated: | 01/24/2014 |
Provider Practice Location
1017 E BASIN AVE STE 3
PAHRUMP
NV
890604532
Practice Location Phone/Fax
| Phone: | 7757510444 |
| Fax: |
Provider Mailing Location
1017 E BASIN AVE STE 3
PAHRUMP
NV
890604532
Provider Mailing Phone/Fax
| Phone: | 7757510444 |
| Fax: |