Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker |
NPI | 1003102682 |
---|---|
Provider Name | Mrs. Kerri S. Korin |
First Address | Las Vegas, NV 89011 |
Second Address | Las Vegas, NV 89011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 06/02/2019 |