Individual
KEVIN KURUVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(702) 671-5150
(702) 384-6493
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-7118
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19010
NV
208600000X
Surgery Physician
LP03107
RI
2086S0102X
Surgical Critical Care Physician
Primary
19010
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134531908
—
NV
Enumeration date
05/28/2014
Last updated
08/31/2021
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