Individual
KEVIN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3675 PECOS MCLEOD, LAS VEGAS, NV 89169
(702) 538-7412
Mailing address
3675 PECOS MCLEOD, LAS VEGAS, NV 89169
(702) 538-7412
(702) 538-7418
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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