Individual
KENNETH TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4141 SWENSON ST, LAS VEGAS, NV 89119-6718
(702) 733-0320
Mailing address
9048 HERRING COVE AVE, LAS VEGAS, NV 89178-6269
(512) 743-1829
(512) 590-7104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP118688
TX
Other
Enumeration date
01/20/2010
Last updated
03/02/2019
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