Kevin D Fradkin, Md, Pllc

NPI #1609039635 in Las Vegas, Nevada

Provider Information

NPI Number: 1609039635
Entity Type: Organization
Organization Name: Kevin D Fradkin, Md, Pllc
Primary Specialty: Surgery
Enumeration Date: Jul 9, 2008
Last Updated: May 7, 2011

Practice Location

Address: 9811 W CHARLESTON BLVD # 2-366
City: Las Vegas
State: Nevada
ZIP Code: 89117-7528
Phone: (702) 836-3636

Authorized Official

Name: KEVIN D FRADKIN, MD
Title: MANAGING MEMBER
Phone: (702) 836-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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