KATHLEEN MARY REARDON PNP
NPI 1245498203
Nurse Practitioner - Pediatrics in Las Vegas, NV
Active since May 27, 2008
3061 S MARYLAND PKWY, #101, LAS VEGAS, NV 89109(702) 254-5437(702) 254-7354 Get Directions Write a Review
About Kathleen Mary Reardon Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MARY REARDON PNP (NPI 1245498203) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Indiana (MR1646237) and active in the NPI registry since May 2008.
NPPES Registry Identity
NPI1245498203
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN MARY REARDONCredential: PNP
Location Address3061 S MARYLAND PKWY, #101Las Vegas, NV 89109-2298
Mailing Address3061 S Maryland Pkwy, #101Las Vegas, NV 89109-2298 · (702) 254-5437 · Fax (702) 254-7354
Phone(702) 254-5437
Fax(702) 254-7354
Sole ProprietorNo
Enumeration DateMay 27, 2008
Last NPPES UpdateMarch 4, 2016
✔ NPI 1245498203 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IN · MR1646237
3061 S MARYLAND PKWY, Las Vegas, NV 89109
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3061 S MARYLAND PKWY, SUITE 202
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
Prosthetic/Orthotic Supplier
3061 S MARYLAND PKWY, SUITE 103
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
Radiology (Pediatric Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
Radiology (Diagnostic Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
Radiology (Diagnostic Radiology)
3061 S MARYLAND PKWY, SUITE 102
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
Physician Assistant (Surgical)
3061 S MARYLAND PKWY, SUITE 200
LAS VEGAS, NV 89109
LAS VEGAS, NV 89109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245498203, enumerated as an "individual" on May 27, 2008.
The provider is located at 3061 S MARYLAND PKWY #101 LAS VEGAS, NV 89109 and the phone number is (702) 254-5437.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.