Individual
KEVIN L WADDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6045 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5565
(702) 948-5095
(702) 948-5115
Mailing address
925 VILLA GRANDE WAY, BOULDER CITY, NV 89005-1262
(702) 327-3302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN62331
NV
163WH0200X
Home Health Registered Nurse
Primary
RN62331
NV
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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