Individual
KEVIN NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(586) 872-0673
Mailing address
25820 WISEMAN ST, ROSEVILLE, MI 48066-3616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A182433
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
08/31/2023
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