Individual
KEVIN LEE SNODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2310 CORPORATE CIR STE 200, HENDERSON, NV 89074-7729
(702) 735-8000
(775) 727-5696
Mailing address
7150 W SUNSET RD STE 200, LAS VEGAS, NV 89113-1982
(702) 385-4342
(702) 385-4346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1206
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902129894
—
NV
Enumeration date
03/08/2010
Last updated
06/29/2023
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