Provider Demographics
NPI:1699066266
Name:NEAL, KORY D (APRN, PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:KORY
Middle Name:D
Last Name:NEAL
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
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Mailing Address - Street 1:245 E CENTENNIAL PARKWAY
Mailing Address - Street 2:APT 3058
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084
Mailing Address - Country:US
Mailing Address - Phone:702-488-5590
Mailing Address - Fax:702-893-4662
Practice Address - Street 1:2780 S JONES BLVD
Practice Address - Street 2:STE 135
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5641
Practice Address - Country:US
Practice Address - Phone:702-488-5590
Practice Address - Fax:702-893-4662
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2025-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV893391363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health