Organization
CKJK GROUP LLC
Active
Other names
Falkner Gynecologic Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE A. FALKNER M. D. (OWNER)
(702) 476-3400
Entity
Organization
Contact information
Practice address
1397 GALLERIA DR, SUITE 203, HENDERSON, NV 89014-6661
(702) 476-3400
(702) 476-3500
Mailing address
PO BOX 29502, # 14970, LAS VEGAS, NV 89126-9502
(702) 476-3400
(702) 476-3500
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
11935
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510111
—
NV
Enumeration date
11/23/2009
Last updated
10/03/2012
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