Individual
MR. KEVIN LAMAR BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
(702) 463-0300
Mailing address
4040 S EASTERN AVE, LAS VEGAS, NV 89119-0810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN15334
NV
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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