Kelvyn Garcia-Alfonso | Las Vegas, NV • PECOS Search

Kelvyn Garcia-Alfonso

Counselor

Behavioral Health & Social Service Providers

6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067

(702) 437-4673 (702) 559-3288

PECOS Enrollment

Based on the most recent information from CMS, provider Kelvyn Garcia-Alfonso does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821564261
Provider Type
Individual
Full Name
Garcia-Alfonso, Kelvyn
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/23/2018
Last Updated
10/23/2018

Contact Information

Practice Location

6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146-1067

Unlisted Fax

Mailing Location

2895 E Charleston Blvd Apt 2032, Las Vegas, NV 89104-6631

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer