Individual
KIJAN A SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,NP
Contact information
Practice address
2414 SPANISH FORK AVE, NORTH LAS VEGAS, NV 89031-0688
(424) 443-8036
Mailing address
2414 SPANISH FORK AVE, NORTH LAS VEGAS, NV 89031-0688
(424) 443-8036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
837731
NV
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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