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Individual

KEVIN LANDSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2650 N TENAYA WAY # 180, LAS VEGAS, NV 89128-1102
(702) 952-3653
Mailing address
2014 PINION SPRINGS DR, HENDERSON, NV 89074-4110
(702) 898-8590

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0950
LICENSE#
NV
Enumeration date
08/30/2006
Last updated
07/08/2007
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