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Individual

SIRI L. KJOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5320 S. RAINBOW BLVD., STE. 182, LAS VEGAS, NV 89118
(702) 255-3547
(702) 921-2419
Mailing address
9260 W. SUNSET RD., STE. 200, LAS VEGAS, NV 89148-4903
(702) 255-3547
(702) 921-2419

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
15288
NV
207VM0101X
Maternal & Fetal Medicine Physician
G51234
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G512340
CA
Enumeration date
04/10/2006
Last updated
01/31/2017
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