Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kietre Medical and Behavioral Clinic

Organization Nurse Practitioner · NPI 1194619619

Kietre Medical and Behavioral Clinic is a Nurse Practitioner in N las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17 Summit Creek Ave
N las Vegas, NV 89031-6856
Phone: (702) 670-0280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1194619619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akisha Toussaint — Managing Member · (702) 670-0280
NPI enumeratedJune 9, 2025
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address17 Summit Creek Ave, N Las Vegas, NV 89031-6856

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