Individual
JOSHUA LEE KINNUNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C
Contact information
Practice address
500 N RAINBOW BLVD, SUITE 203, LAS VEGAS, NV 89107-1082
(702) 259-1228
(866) 460-6277
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001900
NV
Other
Enumeration date
02/10/2015
Last updated
03/31/2020
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