Healthcare Provider Details

I. General information

NPI: 1740730522
Provider Name (Legal Business Name): INSIGHT HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 10/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 W CHARLESTON BLVD SUITE 121
LAS VEGAS NV
89146-9001
US

IV. Provider business mailing address

6575 W TROPICANA APT. 1082
LASVEGAS NV
89103
US

V. Phone/Fax

Practice location:
  • Phone: 702-527-7510
  • Fax:
Mailing address:
  • Phone: 702-690-0453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS CONSTANCE L.M. KELLY
Title or Position: QMHP/QMHPA
Credential: MASTERS
Phone: 702-690-0453