Individual provider · Type 1 NPI

Kelli Ann Ifuku

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1366905184 Active

Practice location

5400 S Rainbow Blvd
Las Vegas, NV 89118-1825

Call (702) 853-3561 Map

Mailing address

1557 Ala Mahamoe St
Honolulu, HI 96819-1766

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366905184

Kelli Ann Ifuku's National Provider Identifier is 1366905184, issued on Apr 9, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 9, 2019.