Individual
KEVIN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 W CHARLESTON BLVD STE 111, LAS VEGAS, NV 89146-1067
(702) 283-6215
Mailing address
5575 SIMMONS ST # 1-491, NORTH LAS VEGAS, NV 89031-9009
(702) 283-6215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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