# AGELESS MEN'S HEALTH NV, LLC

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

## Provider details

- **NPI number:** 1326360686
- **Authorized official:** MISS KATIE LYNN (BUSINESS MANAGER)
- **Authorized official phone:** (702) 252-8378

## Contact information

- **Practice address:** 2821 W HORIZON RIDGE PKWY, 111, HENDERSON, NV 89052-4427
- **Practice address phone:** (702) 252-8378
- **Practice address fax:** (702) 242-0098
- **Mailing address:** 2821 W HORIZON RIDGE PKWY, 111, HENDERSON, NV 89052-4427
- **Mailing address phone:** (702) 252-8378
- **Mailing address fax:** (702) 242-0098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4498 | NV | Yes |

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 02/26/2010