Individual ProviderKellie Jeanne McswigginCounselorBehavioral Health & Social Service ProvidersPractice Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898(702) 437-4673(702) 209-9904PECOS EnrollmentBased on the most recent information from CMS, provider Kellie Jeanne Mcswiggin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1427682749Provider TypeIndividualFull NameMcswiggin, Kellie JeanneCredentialBAGenderFemaleSole ProprietorYesEnumeration Date2/25/2020Last Updated2/25/2020Contact InformationPractice LocationPractice Address601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898Phone(702) 437-4673FaxUnlisted FaxMailing LocationMailing Address8005 Secretariat Ln, Las Vegas, NV 89123-2057Phone(702) 209-9904FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer