Individual
KEVIN KAPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
959
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932192614
—
NV
01
—
O00199240
RAILROAD MEDICARE
NV
Enumeration date
08/26/2005
Last updated
05/01/2019
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