Las Vegas Kidney Clinic Inc.
NPI #1245234145 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1245234145
- Entity Type
- Organization
- Organization Name
- Las Vegas Kidney Clinic Inc.
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jun 8, 2005
- Last Updated
- Jun 6, 2008
Practice Location
- Address
- 1905 CIVIC CENTER DR
- Address 2
- STE 201
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89030-7116
- Phone
- (702) 214-9516
Authorized Official
- Name
- MR. GALEN ROBERT BENNETT, BSBA
- Title
- ADMINISTRATOR
- Phone
- (702) 214-9516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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