Individual
KAYOKO DINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6070 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5615
(702) 803-5534
(888) 977-1206
Mailing address
21 W HORIZON RIDGE PKWY, HENDERSON, NV 89012-5307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
530884
CA
363LF0000X
Family Nurse Practitioner
18035
CA
363LF0000X
Family Nurse Practitioner
18617
SC
363LF0000X
Family Nurse Practitioner
Primary
815188
NV
Other
Enumeration date
01/04/2012
Last updated
04/24/2023
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