Individual
KENNETH R ARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
8430 W LAKE MEAD BLVD, STE 100, LAS VEGAS, NV 89128-7674
(888) 499-9273
(702) 926-9658
Mailing address
10729 SAPPHIRE VISTA AVE, LAS VEGAS, NV 89144-4139
(702) 596-2188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
834300
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
834300
APRN-CNP
NV
Enumeration date
09/28/2020
Last updated
01/11/2021
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