SearchNevada103T00000X

Shane Kelley, PHD

NPI 1053694372 · on the registry since 2011 · sole proprietor

Practice

Address
5421 Kietzke Ln
Suite 101
Reno, NV 89511
Phone
(775) 853-3797
Fax
(855) 754-6250
Organisation at this address
L E Ruckstuhl Inc
Richard M Baldo Phd Incorporated
Behavioral Medcine Consultants, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
106H00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada