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Individual

KYLE MARTINEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
500 N RAINBOW BLVD, 303, LAS VEGAS, NV 89107-1082
(702) 259-1228
(702) 259-1252
Mailing address
500 N RAINBOW BLVD, 303, LAS VEGAS, NV 89107-1082
(702) 259-1228
(702) 259-1252

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/24/2017
Last updated
03/06/2017
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