Provider Demographics
NPI:1285844258
Name:KINCHELOE, JULIE (CRT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:KINCHELOE
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5316 EL DORADO WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-1792
Mailing Address - Country:US
Mailing Address - Phone:702-641-5757
Mailing Address - Fax:702-641-5757
Practice Address - Street 1:1655 W. HORIZON RIDGE PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-0000
Practice Address - Country:US
Practice Address - Phone:702-914-2790
Practice Address - Fax:702-914-5984
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVRC10512278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation