Individual
EDWIN C KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3730 S EASTERN AVE, LAS VEGAS, NV 89169-3321
(702) 952-3400
(702) 952-3461
Mailing address
400 N STEPHANIE ST STE 300, HENDERSON, NV 89014-6692
(702) 952-3350
(702) 952-3365
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5208
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002696
—
NV
01
—
830002353
RAILROAD MEDICARE
NV
Enumeration date
08/02/2006
Last updated
03/14/2024
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