Individual
KATHRYN AKEMI ANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 E LAKE MEAD PKWY, HENDERSON, NV 89015-5575
(026) 164-6007
Mailing address
102 E LAKE MEAD PKWY, HENDERSON, NV 89015-5575
(702) 616-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2048
NV
363A00000X
Physician Assistant
PA22959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215373402
—
AZ
05
—
1215373402
—
NV
05
—
3009775
—
UT
Enumeration date
05/15/2013
Last updated
06/06/2024
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