MEDICARE: KELSEY MARIE KARR

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770089625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY MARIE KARR

Provider Business Mailing Address
First Line	:	3161 E WARM SPRINGS RD STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3144
Country	:	US
Telephone Number	:	702-305-5490
Fax Number	:

Provider Business Practice Location Address
First Line	:	3161 E WARM SPRINGS RD
Second Line	:	STE 300
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3144
Country	:	US
Telephone Number	:	702-305-5490
Fax Number	:

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

Provider Enumeration Date	:	03/31/2018
Last Update Date	:	05/26/2021

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Directions to “ KELSEY MARIE KARR ” Practice Location

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