# KENT SWAINE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154354207
- **Authorized official:** KENT ALAN SWAINE M.D. (PRESIDENT)
- **Authorized official phone:** (702) 596-2080

## Contact information

- **Practice address:** 2610 W HORIZON RIDGE PKWY, SUITE \#103, HENDERSON, NV 89052-2869
- **Practice address phone:** (702) 407-8241
- **Practice address fax:** (702) 492-1728
- **Mailing address:** PO BOX 36670, LAS VEGAS, NV 89133-6670
- **Mailing address phone:** (702) 407-8241
- **Mailing address fax:** (702) 492-1728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9815 | NV | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 10/12/2007