Individual
DR. KEVIN B INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3880
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSO16252
PA
Other
Enumeration date
08/24/2006
Last updated
08/03/2023
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