Organization
KSM CORPORATE HOLDINGS
Active
Other names
Nevada Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M MCMANUS (OWNER)
(702) 998-2118
Entity
Organization
Contact information
Practice address
9430 W LAKE MEAD BLVD, SUITE 3, LAS VEGAS, NV 89134-8338
(702) 998-2118
Mailing address
9430 W LAKE MEAD BLVD, SUITE 3, LAS VEGAS, NV 89134-8338
(702) 998-2118
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
NV20121603160
NV
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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