Organization
ARES ADVANCE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R ARES FNP-C (OWNER)
(702) 890-8147
Entity
Organization
Contact information
Practice address
10729 SAPPHIRE VISTA AVE, LAS VEGAS, NV 89144-4139
(702) 890-8147
(702) 659-8910
Mailing address
8430 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-7674
(702) 890-8147
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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