Organization
LONG KEVIN DIEP, ODPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG KEVIN KEVIN DIEP OD (PRESIDENT)
(702) 889-1128
Entity
Organization
Contact information
Practice address
3437 S JONES BLVD, LAS VEGAS, NV 89146-6729
(702) 889-1128
Mailing address
3437 S JONES BLVD, LAS VEGAS, NV 89146-6729
(702) 889-1128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
324
NV
Other
Enumeration date
10/08/2012
Last updated
11/03/2022
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