MEDICARE: KELL THORNTON

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	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1194471342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELL THORNTON

Provider Business Mailing Address
First Line	:	6132 PASSIONATE CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3538
Country	:	US
Telephone Number	:	773-354-2459
Fax Number	:

Provider Business Practice Location Address
First Line	:	6132 PASSIONATE CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3538
Country	:	US
Telephone Number	:	773-354-2459
Fax Number	:

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

Provider Enumeration Date	:	02/25/2022
Last Update Date	:	02/25/2022

Similar Medicare Providers

1750654430 — ITS ALL ABOUT YOU
Practice Location Address:

6132 PASSIONATE CT
N LAS VEGAS, NV
89031-3538

Practice Phone: 702-743-5908
Practice Fax:

1972865087 — DIVERSITY FAMILY SERVICES
Practice Location Address:

6132 PASSIONATE CT
NORTH LAS VEGAS, NV
89031-3538

Practice Phone: 702-743-5908
Practice Fax:

1528623691 — SHANNON MONIQUE ROBERTS
Practice Location Address:

6148 PASSIONATE CT
N LAS VEGAS, NV
89031-3538

Practice Phone: 702-465-4001
Practice Fax:

1821212051 — TOM ABRAHAM THOMAS LCSW
Practice Location Address:

1905 COCHRAN ST
LAS VEGAS, NV
89104-3538

Practice Phone: 702-737-5048
Practice Fax: 702-737-4752

1013289024 — MR. JOHN R PHOENIX APRN
Practice Location Address:

1909 COCHRAN ST
LAS VEGAS, NV
89104-3538

Practice Phone: 702-278-9684
Practice Fax: 702-330-4499

1609462266 — RICHARD CASTLE
Practice Location Address:

4246 ZAVALA ST APT 2
LAS VEGAS, NV
89103-3538

Practice Phone: 702-666-5484
Practice Fax:

Directions to “ KELL THORNTON ” 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.