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2316 Plaza Del Grande Las Vegas NV 89102-4028 | |
| (702) 550-9079 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2316 Plaza Del Grande, Las Vegas, Nevada |
| Authorized Official Name and Position | Corey Kuhn (MANAGER) |
| Authorized Official Contact | 7025509079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2316 Plaza Del Grande Las Vegas NV 89102-4028 Ph: (702) 550-9079 | 2316 Plaza Del Grande Las Vegas NV 89102-4028 Ph: (702) 550-9079 |
| NPI Number | 1568195964 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 8426439530 |
|---|---|
| Medicare Enrollment ID | O20220721000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568195964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Corey Rae Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316580186 PECOS PAC ID: 2567881097 Enrollment ID: I20201001001852 |
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