Individual
DR. KENNETH E MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD, #160, PATIENT CARE CENTER, LAS VEGAS, NV 89102-2351
(702) 671-5150
(702) 684-6493
Mailing address
2040 W CHARLESTON BLVD, #601, LAS VEGAS, NV 89102-2227
(702) 671-2274
(702) 384-7506
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
10314
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018582
—
NV
01
—
CS11417
PHARMACY/CDS
NV
Enumeration date
01/03/2006
Last updated
03/07/2023
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