Individual
KEVIN STEVEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
871 CORONADO CENTER DR STE 141, HENDERSON, NV 89052-3977
(702) 566-2400
(702) 433-2477
Mailing address
7216 EDNA AVE, LAS VEGAS, NV 89117-3010
(702) 443-4097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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