Organization
ARES ADVANCED WOUND CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ARES APRN (OWNER/PROVIDER)
(702) 596-2188
Entity
Organization
Contact information
Practice address
5660 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2312
(702) 890-8147
(702) 659-8910
Mailing address
5660 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2312
(702) 890-8147
(702) 659-8910
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598372088
—
NV
Enumeration date
11/29/2022
Last updated
01/06/2023
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