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Individual

KAVIN KENT JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2720 2 N TENAYA WAY, LAS VEGAS, NV 89128
(702) 242-7484
(702) 579-1017
Mailing address
PO BOX 36040, LAS VEGAS, NV 89133-6040
(702) 242-7484

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PRSS-5017
NV
175T00000X
Peer Specialist

Other

Enumeration date
04/01/2022
Last updated
04/01/2022
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