Organization
KENNY ELIAS HANNA MD
Active
Other names
Extremities Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY ELIAS HANNA JR. MD (PRESIDENT)
(702) 320-8111
Entity
Organization
Contact information
Practice address
7140 SMOKE RANCH RD STE 150, LAS VEGAS, NV 89128-3157
(702) 320-8111
(702) 320-8112
Mailing address
7140 SMOKE RANCH RD STE 150, LAS VEGAS, NV 89128-3157
(702) 320-8111
(702) 320-8112
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14660
NV
207XS0106X
Orthopaedic Hand Surgery Physician
14660
NV
Other
Enumeration date
01/09/2018
Last updated
10/22/2018
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