MR. KRISTOPHER KEVIN KLEINMAN


Address: 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149
Phone: 7024109800

MR. KRISTOPHER KEVIN KLEINMAN (NPI# 1083076269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083076269
Entity Type Individual
Full Name MR. KRISTOPHER KEVIN KLEINMAN
Credential R.N, N.P
Practice Address 5550 Painted Mirage Rd Ste 217
Las Vegas
NV 89149
Mailing Address 11752 Via Esperanza Ave
Las Vegas
NV 89138-6025
Practice Telephone 7024109800
Mailing Telephone 8017928012
Enumeration Date 2016-03-25
Last Update Date 2018-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN82632 NV Nursing Service Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
810017 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV NEVADA NURSING BOARD 810017 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3001 Saint Rose Pkwy, Henderson, NV 890523839 7026165000

Office Location

Street Address 5550 PAINTED MIRAGE RD STE 217
City LAS VEGAS
State NV
Zip Code 89149

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1285600502 Tia B Hudon Nurse Practitioner 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 2006-02-27
1568469773 Aloycha Li De La Roche Nurse Practitioner 6100 Iron Kettle St, Las Vegas, NV 89130-1065 2005-07-01
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Competitor

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City LAS VEGAS
Zip Code 89149

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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