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

Kinsey Shae Ellis, PHDSTUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841976024

Kinsey Shae Ellis, PHDSTUDENT is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2023
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Practice location Address checks out

6460 Medical Center St Ste 140
Las Vegas, NV 89148-2420
Phone: (702) 888-1340
Fax: (702) 888-1342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NV)

Record details

NPI number1841976024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDSTUDENT
Sole proprietorYes
NPI enumeratedJune 23, 2023
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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