| Kevin Bernstein Md Llc | |
|
391 Fynn Valley Dr Las Vegas NV 89148-4454 | |
| (702) 405-9080 | |
| Not Available |
| Full Name | Kevin Bernstein Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 391 Fynn Valley Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Kevin Bernstein (OWNER) |
| Authorized Official Contact | 7028138079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Bernstein Md Llc 391 Fynn Valley Dr Las Vegas NV 89148-4454 Ph: (702) 506-3139 | Kevin Bernstein Md Llc 391 Fynn Valley Dr Las Vegas NV 89148-4454 Ph: (702) 405-9080 |
| NPI Number | 1619213998 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Medicare PECOS PAC ID | 7911150644 |
|---|---|
| Medicare Enrollment ID | O20130109000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619213998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 9507 (Nevada) | Primary |
| Provider Name | Kevin Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609823533 PECOS PAC ID: 3971598368 Enrollment ID: I20040415001124 |
| Provider Name | Benson Wanjohi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407441405 PECOS PAC ID: 8628475035 Enrollment ID: I20220404002315 |
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