Individual
JOHNSON UKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 992-6888
Mailing address
1701 W CHARLESTON BLVD STE 590, LAS VEGAS, NV 89102-2396
(702) 992-6875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22377
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2019
Last updated
10/14/2022
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