Individual
KUMMIRE EDWARDS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89107-1189
(702) 778-8922
(702) 778-8789
Mailing address
800 N RAINBOW BLVD, SUITE 110, LAS VEGAS, NV 89107-1189
(702) 778-8922
(702) 778-8789
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
11/29/2012
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