Individual
MS. KATHLEEN JO WENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7160 SMOKE RANCH RD, LAS VEGAS, NV 89128-3208
(702) 254-8900
(702) 254-8936
Mailing address
8906 SPANISH RIDGE AVE STE 202, LAS VEGAS, NV 89148-1319
(702) 330-3102
(702) 912-4994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
590
NV
Other
Enumeration date
02/08/2012
Last updated
11/14/2020
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