Individual
DR. LONG KEVIN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3437 S JONES BLVD, LAS VEGAS, NV 89146-6729
(702) 889-1128
(702) 889-2180
Mailing address
3437 S JONES BLVD, LAS VEGAS, NV 89146-6729
(702) 889-1128
(702) 889-2180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
324
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2502014
—
NV
Enumeration date
02/07/2007
Last updated
11/03/2022
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