Organization
LENORE S KAKITA MD LLC
Active
Other names
Skinrehab
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT KAKITA (CEO)
(818) 601-7611
Entity
Organization
Contact information
Practice address
9360 W FLAMINGO RD STE 110-325, LAS VEGAS, NV 89147-6410
(702) 582-6633
Mailing address
9360 W FLAMINGO RD STE 110-325, LAS VEGAS, NV 89147-6410
(702) 582-6633
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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