Organization
KWIATKOWSKI MD PLLC
Active
Organization
KWIATKOWSKI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE J KWIATKOWSKI MD (MNG MBR)
(702) 617-9599
Entity
Organization
Contact information
Practice address
10410 S EASTERN AVE STE 110, HENDERSON, NV 89052-4196
(702) 617-9599
(702) 614-0059
Mailing address
PO BOX 530521, HENDERSON, NV 89053-0521
(702) 617-9599
(702) 614-0059
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0901X
Otology & Neurotology Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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