Irene Kilcullen
Case Manager/Care Coordinator in Las Vegas, NV. Individual provider (NPI-1).
NPI number1043965510
StatusActive
Last updated in NPPESFeb 14, 2022
Details
- NPI
- 1043965510
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Irene Kilcullen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2022
- Certification date
- Feb 14, 2022
- Last updated
- Feb 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
5412 Boulder HwyLas Vegas, NV 89122-6039
Phone 702-291-7121
Mailing address
4140 Hazelridge DrLas Vegas, NV 89129-6542
Phone 818-261-8416
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