Healthcare Provider Details

I. General information

NPI: 1023468253
Provider Name (Legal Business Name): KERRIE RABANERA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KERRIE LEMERAND M.D.

II. Dates (important events)

Enumeration Date: 06/19/2016
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 S DURANGO DR
LAS VEGAS NV
89113-1774
US

IV. Provider business mailing address

6350 S DURANGO DR
LAS VEGAS NV
89113-1774
US

V. Phone/Fax

Practice location:
  • Phone: 702-790-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number22853
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: