Individual
KENNETH BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 E LAKE MEAD PKWY STE 110, HENDERSON, NV 89015-5532
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2159
NV
Other
Enumeration date
05/20/2014
Last updated
09/16/2019
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