Individual
KENNETH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6150 SMOKE RANCH RD, LAS VEGAS, NV 89108-3814
(702) 727-3525
Mailing address
7260 W AZURE DR, SUITE 140-524, LAS VEGAS, NV 89130-7999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
832
NV
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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