Individual
KEVIN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 LAS VEGAS BLVD S, LAS VEGAS, NV 89104-1310
(702) 650-1143
Mailing address
3352 VIA TIZZONI ST, HENDERSON, NV 89044-1956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23314
NV
Other
Enumeration date
01/30/2023
Last updated
06/25/2026
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