MEDICARE: TAMMIKA L KELLY

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1093226540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMIKA L KELLY

Provider Business Mailing Address
First Line	:	3240 LAS VEGAS BLVD N APT 344
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-1548
Country	:	US
Telephone Number	:	951-202-2932
Fax Number	:

Provider Business Practice Location Address
First Line	:	3240 LAS VEGAS BLVD N APT 344
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-1548
Country	:	US
Telephone Number	:	951-202-2932
Fax Number	:

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

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	10/23/2017

Similar Medicare Providers

1912646043 — NICOLAS WALLACE
Practice Location Address:

3240 LAS VEGAS BLVD N APT 342
LAS VEGAS, NV
89115-1548

Practice Phone: 323-387-8328
Practice Fax:

1306388251 — LATASHA S DAVIS APRN
Practice Location Address:

2870 S MARYLAND PKWY STE 210
LAS VEGAS, NV
89109-1548

Practice Phone: 702-758-4219
Practice Fax: 702-760-0227

1639110257 — DR. MARK ALAN WARD MD
Practice Location Address:

355 LAS VEGAS ST
MORRO BAY, CA
93442-1548

Practice Phone: 805-772-7100
Practice Fax: 805-772-7776

1255372280 — NILOFAR KURAISHI M.D.
Practice Location Address:

2870 S MARYLAND PKWY STE 110
LAS VEGAS, NV
89109-1548

Practice Phone: 702-733-0899
Practice Fax: 702-733-6380

1962412106 — BEATRIZ ANG-ERMOCILLA MD
Practice Location Address:

2870 S MARYLAND PKWY STE 220
LAS VEGAS, NV
89109-1548

Practice Phone: 725-204-7848
Practice Fax: 877-275-8844

1548463359 — MARK A WARD MD INC
Practice Location Address:

355 LAS VEGAS ST
MORRO BAY, CA
93442-1548

Practice Phone: 805-772-7100
Practice Fax: 805-772-7776

Directions to “ TAMMIKA L KELLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.