Individual
KENNETH J MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10001 S EASTERN AVE STE 203, HENDERSON, NV 89052-3908
(702) 616-5915
(702) 616-5905
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(024) 064-7866
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12134
NV
207RP1001X
Pulmonary Disease Physician
Primary
12134
NV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
12134
NV
Other
Enumeration date
05/16/2006
Last updated
10/30/2024
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