MEDICARE: KELSEE DREW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	10777-C	NV

General Provider Information

NPI Number	:	1134638190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEE DREW

Provider Business Mailing Address
First Line	:	6160 RUMRILL ST UNIT 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-7104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 E FLAMINGO RD STE 125
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5259
Country	:	US
Telephone Number	:	702-751-4801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2017
Last Update Date	:	12/13/2023

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Directions to “ KELSEE DREW ” Practice Location

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