KENNETH TAM


Address: 4141 Swenson St, Las Vegas, NV 89119-6718
Phone: 7027330320

KENNETH TAM (NPI# 1477884138) 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) 1477884138
Entity Type Individual
Full Name KENNETH TAM
Credential NP-C
Practice Address 4141 Swenson St
Las Vegas
NV 89119-6718
Mailing Address 9048 Herring Cove Ave
Las Vegas
NV 89178-6269
Practice Telephone 7027330320
Mailing Telephone 5127431829
Mailing Fax Number 5125907104
Enumeration Date 2010-01-20
Last Update Date 2019-03-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP118688 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
8133 Mesa Dr Ste 108, Austin, TX 787598655 5122918076 5125907104
2725 S Jones Blvd Ste 102, Las Vegas, NV 891465605 7023477000

Other Providers KENNETH TAM

NPI Name Taxonomy Address Enumeration
1467482703 Kenneth C Tam Internal Medicine 217 Grand St Fl 9, New York, NY 10013-4286 2006-07-03
1194793257 Kenneth W Tam Counselor 3639 Martin Luther King Way S, Seattle, WA 98144-1339 2006-03-14
1891257820 Kenneth Tam Student in an Organized Health Care Education/Training Program 30 Prospect Ave, Hackensack, NJ 07601-1915 2019-03-31
1710230503 Kenneth Tam Pharmacist 3000 Church Ave, Brooklyn, NY 11226-4210 2012-10-18
1821081423 Kenneth K Tam Internal Medicine 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 2005-08-30

Office Location

Street Address 4141 SWENSON ST
City LAS VEGAS
State NV
Zip Code 89119-6718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558352187 Warren Lynn Wheeler Pain Medicine 4141 Swenson St, Las Vegas, NV 89119-6718 2005-11-02
1679129787 Brian Palmer Nurse Practitioner 4141 Swenson St, Las Vegas, NV 89119-6718 2019-08-14
1164081717 Care Companions, LLC In Home Supportive Care 4141 Swenson St, Las Vegas, NV 89119-6718 2019-06-07
1588105449 Judith Bechler Nurse Practitioner 4141 Swenson St, Las Vegas, NV 89119-6718 2017-03-12
1093153207 Karleen Carol Adams Family Medicine 4141 Swenson St, Las Vegas, NV 89119-6718 2013-06-10
1225377617 Angie Pacheco Jones Registered Nurse 4141 Swenson St, Las Vegas, NV 89119-6718 2013-02-06
1902119050 Jennifer Ann Leake Nurse Practitioner 4141 Swenson St, Las Vegas, NV 89119-6718 2010-07-19
1063439891 Pamela Cate Nurse Practitioner 4141 Swenson St, Las Vegas, NV 89119-6718 2006-07-16
1639147051 Nathan Adelson Hospice Inc Anesthesiology 4141 Swenson St, Las Vegas, NV 89119-6718 2006-03-10
1205804028 Ned S Stoughton Dermatology 4141 Swenson St, Las Vegas, NV 89119-6718 2006-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669089298 Jennifer Chavon Cruse Technician [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 2020-09-28
1063024214 Rosa Isela Martinez Gonzalez Technician 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 2020-08-19
1720697980 Christian Scott Social Worker 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1215562376 Phyllis Eberechukwu Hunt Adult Companion 5160 Tamarus St Appt 17, Las Vegas, NV 89119 2020-03-10
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 2019-10-09
1083260046 Araceli Rosas Vargas Technician 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-15
1376197707 Bristure Clayton Technician Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-07-24
1457904534 Carmen Laura Gonzalez Valenzuela Chore Provider 6725-1 S. Eastern Ave, Las Vegas, NV 89119 2019-07-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396651 Alma F Talavera Nurse Practitioner 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 2020-11-06
1154922300 Reynaly Campos Nurse Practitioner 10680 Spruce Bough St, Las Vegas, NV 89183-4631 2020-11-04
1811596463 Carolina Salaberrios Nurse Practitioner 8440 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7648 2020-10-23
1851990840 John Marius Agravio Tolentino Nurse Practitioner 3557 Winter Wren St, Las Vegas, NV 89122-3539 2020-10-21
1811596760 Emmelyn Pineda Rivas Nurse Practitioner 7852 Lovely Pine Pl, Las Vegas, NV 89143-4431 2020-10-21
1659979052 Francis Torres Nurse Practitioner 10010 Fort Pike St, Las Vegas, NV 89178-7543 2020-10-16
1144828849 Julio Arvie Mata Madarazo Jr. Nurse Practitioner 6284 Canvasback Ave, Las Vegas, NV 89122-3545 2020-10-14
1104424076 Khelsey Macaspac Nurse Practitioner 6446 Dunns River St, Las Vegas, NV 89166-8064 2020-10-13
1912505199 Angelica Villahermosa Nurse Practitioner 8115 Dancing Bull Ct, Las Vegas, NV 89139-6702 2020-10-11
1467050625 Ruby Borja Nurse Practitioner 7329 Perkins Hill St, Las Vegas, NV 89166-6505 2020-10-10
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Competitor

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City LAS VEGAS
Zip Code 89119

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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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