Organization
EDS-I HOMANSKY PRACTICES OF NEVADA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KENNEDY (AUTHORIZED OFFICIAL)
(207) 807-9009
Entity
Organization
Contact information
Practice address
360 S LOLA LN, PAHRUMP, NV 89048-0884
(954) 939-5000
Mailing address
PO BOX 844322, LOS ANGELES, CA 90084-4322
(954) 939-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/15/2026
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