Individual
JEANNIE KHAVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
653 N TOWN CENTER DR STE 308, LAS VEGAS, NV 89144-0517
(702) 242-3223
(702) 270-3224
Mailing address
653 N TOWN CENTER DR, STE 602, LAS VEGAS, NV 89144-0520
(702) 888-1188
(702) 673-1155
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13577
NV
207YS0123X
Facial Plastic Surgery Physician
13577
NV
Other
Enumeration date
09/26/2008
Last updated
11/04/2019
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