Individual
KENNETH J BOONE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD - INTERN
Contact information
Practice address
1703 CIVIC CENTER DR STE 5, NORTH LAS VEGAS, NV 89030-7273
(716) 308-0228
Mailing address
4225 S EASTERN AVE., STE. 6, UNIT 126, LAS VEGAS, NV 89119
(716) 308-0228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CI5343
NV
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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