Michael Kelly Gann in Las Vegas - Clinical
Michael Kelly Gann - NPI 1164530812
Michael Kelly Gann is a Clinical in Las Vegas, Nevada. Michael Kelly Gann practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Kelly Gann is 1164530812. The last update date is 2017-12-27.
Michael Kelly Gann's current location address is 3862 Starfield Ln, Las Vegas, Nevada. You can contact this provider via phone number 7023332907 and fax number 7023332693. The mailing address for Michael Kelly Gann is 3862 Starfield Ln, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Kelly Gann |
|---|---|
| Address | 3862 Starfield Ln, Las Vegas, Nevada |
| Phone Number | 7023332907 |
| Fax Number | 7023332693 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1164530812 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2017-12-27 |
Provider Mailing Address Detail
| Address | 3862 Starfield Ln |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891478032 |
| Phone Number | 7023332907 |
| Fax Number | 7023332693 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3413 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Michael Kelly Gann by the Centers for Medicare & Medicaid Services?
The Michael Kelly Gann has been issued the NPI (National Provider Identifier) 1164530812 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Michael Kelly Gann's physical address?
The Michael Kelly Gann is physically located at 3862 Starfield Ln, in the city of Las Vegas, NV, with the postal code 891478032.
What is the Michael Kelly Gann's specialty and taxonomy code?
The Michael Kelly Gann's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164530812 to Michael Kelly Gann?
The Centers for Medicare & Medicaid Services originally issued the 1164530812 to Michael Kelly Gann on 2006-08-25.
When was the information regarding Michael Kelly Gann, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Kelly Gann, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-12-27.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA