Individual
BRANDON KUKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2831 SAINT ROSE PKWY STE 222, HENDERSON, NV 89052-4840
(702) 589-4871
(725) 589-4872
Mailing address
2831 SAINT ROSE PKWY STE 222, HENDERSON, NV 89052-4840
(702) 589-4871
(702) 589-4872
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2014020099
MO
2084P0800X
Psychiatry Physician
Primary
DO2361
NV
Other
Enumeration date
06/24/2014
Last updated
04/07/2020
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