Individual
DR. CARL KEVIN SUPNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 N GIBSON RD STE 201, HENDERSON, NV 89011-1706
(702) 616-7650
(702) 616-7820
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3497
NV
Other
Enumeration date
05/14/2020
Last updated
10/19/2023
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