SearchNevada246QB0000X

Randi Mckissick

NPI 1992250252 · on the registry since 2016 · sole proprietor

Practice

Address
5425 Australian Ave
Las Vegas, NV 89142
Phone
(801) 824-3611

Registry record

Primary taxonomy
246QB0000X
246QB0000X
Also registered as
246QB0000X
Licence states on file
NV, UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-16

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