Individual
DR. CONSUELO AUREA KINAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.SC.PHARM, M.D.
Contact information
Practice address
5320 S RAINBOW BLVD STE 150, LAS VEGAS, NV 89118
(702) 944-7105
(702) 944-7110
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16677
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639556855
—
NV
01
—
16677
STATE LICENSE
NV
Enumeration date
04/27/2015
Last updated
08/29/2019
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