Individual
GREGORY KYLE NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
(702) 878-0070
(702) 805-0307
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857
(725) 204-4632
(702) 805-0307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100110
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
867115
NV
Other
Enumeration date
06/14/2022
Last updated
07/28/2023
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