Organization
KENNETH W HOUCHIN, MD, DBA ELKO EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WAYNE HOUCHIN MD (PHYSICIAN OWNER)
(775) 738-5193
Entity
Organization
Contact information
Practice address
875 14TH ST, ELKO, NV 89801-3414
(775) 738-5193
(775) 778-6831
Mailing address
875 14TH ST, ELKO, NV 89801-3414
(775) 738-5193
(775) 778-6831
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
8896
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502104
—
NV
Enumeration date
03/13/2008
Last updated
06/19/2008
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