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Organization
LAS VEGAS KIDNEY CLINIC INC.
Active
Organization
LAS VEGAS KIDNEY CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GALEN ROBERT BENNETT BSBA (ADMINISTRATOR)
(702) 214-9516
Entity
Organization
Contact information
Practice address
1905 CIVIC CENTER DR, STE 201, NORTH LAS VEGAS, NV 89030-7116
(702) 214-9516
(702) 214-9415
Mailing address
1905 CIVIC CENTER DR, STE 201, NORTH LAS VEGAS, NV 89030-7116
(702) 214-9516
(702) 214-9415
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3221ESR3
NV
Other
Enumeration date
06/08/2005
Last updated
06/06/2008
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