Healthcare Provider Details

I. General information

NPI: 1205458015
Provider Name (Legal Business Name): RONALD ERIC KANDELL CLO, EMHO, NHA, LHCN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ERIC RONALD KANDELL CLO, EMHO, NHA, LHCN

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 E FLAMINGO RD STE 215B
LAS VEGAS NV
89119-5154
US

IV. Provider business mailing address

1771 E FLAMINGO RD STE 215B
LAS VEGAS NV
89119-5154
US

V. Phone/Fax

Practice location:
  • Phone: 702-834-9260
  • Fax:
Mailing address:
  • Phone: 702-665-7585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: