NPI 1295204634 · live from the CMS NPI Registry
Kelsey Leigh Boetcher, DC
Chiropractor in North Las Vegas, NV. National Provider Identifier 1295204634, active.
NPI record
| NPI | 1295204634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 6900 N Pecos Rd, North Las Vegas, NV 89086 |
| Practice phone | 612-280-6781 |
| Mailing address | 10909 S Eastern Ave, Henderson, NV 89052 |
| Enumerated | November 15, 2018 |
| Last updated | August 4, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 5898 (OR) |
| Chiropractor primary | 111N00000X | B01874 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.