| Doctor Name: | DR. CAROL JEAN ELNICKY |
| NPI Number: | 1710084488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01051127A |
| Business Practice Address: | 4700 Las Vegas Blvd N Nellis Afb, NV - 891916600 |
| Business Phone Number: | 7026532566 |
| Business Fax Number: | |
| Mailing Address: | 6528 Chebec, NORTH LAS VEGAS |
| State: | NV |
| Postal Code: | 89084 |
| Phone Number: | 7026458196 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01051127A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |