Individual
STEVEN JOHN KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3100 N TENAYA WAY, NORTH TOWER; 4TH FLOOR, LAS VEGAS, NV 89128-0436
(702) 562-5726
Mailing address
3100 N TENAYA WAY, NORTH TOWER; 4TH FLOOR, LAS VEGAS, NV 89128-0436
(702) 562-5726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1214
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134447584
—
NV
01
—
DJ481Z
MEDICARE PTAN
—
Enumeration date
05/10/2010
Last updated
02/11/2015
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