Individual
MELINDA KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2845 SIENA HEIGHTS DR STE 1100, HENDERSON, NV 89052-4161
(702) 669-5840
(702) 650-5729
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1809
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639483746
MEDICAID SMA CONVENIENT CARE
NV
05
—
1639483746
—
NV
01
—
P01386897
RAILROAD MEDICARE
NV
01
—
V106802
MEDICARE SMACC
NV
Enumeration date
07/30/2010
Last updated
12/16/2024
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