Individual
KENNETH GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 E SAHARA AVE STE 103, LAS VEGAS, NV 89104-2942
(702) 369-8700
Mailing address
714 E SAHARA AVE STE 103, LAS VEGAS, NV 89104-2942
(702) 369-8700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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