Individual
KESHAVAN KODANDAPANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
5757 WAYNE NEWTON BLVD., LAS VEGAS, NV 89111
(702) 383-2527
(702) 383-1991
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2688
(702) 952-3364
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
APN000923
NV
363L00000X
Nurse Practitioner
Primary
APRN000923
NV
Other
Enumeration date
02/05/2007
Last updated
07/06/2021
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