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Individual

JEREMY JUHANI KOKKONEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
620 SHADOW LANE, LAS VEGAS, NV 89106-4194
(702) 388-4000
(702) 388-8431
Mailing address
1776 WOODSTEAD CT, STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
(512) 628-3314

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
SL0518
193200000X
Multi-Specialty Group
DO-1245
HI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
007204
AZ
208100000X
Physical Medicine & Rehabilitation Physician
11025A
WY

Other

Enumeration date
05/29/2008
Last updated
04/14/2023
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