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General NPI Number Information
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NPI Number | 1699066266
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Entity Type | Individual
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Provider Name | KORY D NEAL APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 2780 S JONES BLVD STE 135
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City | LAS VEGAS
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State | NV
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Zip | 89146-5641
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Country | US
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Telephone | 702-488-5590
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Fax | 702-893-4662
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Provider Business Mailing Address
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Address Line | 245 E CENTENNIAL PARKWAY APT 3058
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084
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Country | US
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Telephone | 702-488-5590
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Fax | 702-893-4662
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 893391
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License Number State | NV
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