1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Technician
  6. NPI Profile

DE' ANDRE KELLY
NPI 1164084547
Technician - Attendant Care Provider in Las Vegas, NV

Active since July 05, 2019
3070 S NELLIS BLVD APT 3189, LAS VEGAS, NV 89121(725) 222-7203 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About De' Andre Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE' ANDRE KELLY (NPI 1164084547) is an individual attendant care provider provider in Las Vegas, Nevada and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1164084547
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameDE' ANDRE KELLY
Location Address3070 S NELLIS BLVD APT 3189Las Vegas, NV 89121-2057
Mailing Address2110 E Flamingo RdLas Vegas, NV 89119-5190
Phone(725) 222-7203
Sole ProprietorNo
Enumeration DateJuly 5, 2019
✔ NPI 1164084547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
3070 S NELLIS BLVD APT 3189, Las Vegas, NV 89121
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De' Andre Kelly's NPI number?

The NPI number for De' Andre Kelly is 1164084547. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is De' Andre Kelly located?

De' Andre Kelly practices at 3070 S Nellis Blvd Apt 3189, Las Vegas, NV 89121. The listed phone number is (725) 222-7203.

What is De' Andre Kelly's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for De' Andre Kelly was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.