| K.f.b.h., Llc | |
|
1090 Wigwam Pkwy Suite 100 Henderson NV 89074 | |
| (702) 454-0201 | |
| Not Available |
| Full Name | K.f.b.h., Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1090 Wigwam Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Khairallah Fayazi (MANAGING MEMBER) |
| Authorized Official Contact | 6023275747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K.f.b.h., Llc 1350 Kelso Dunes Ave Apt. 321 Henderson NV 89014-7816 Ph: (702) 485-6612 | K.f.b.h., Llc 1090 Wigwam Pkwy Suite 100 Henderson NV 89074 Ph: (702) 454-0201 |
| NPI Number | 1700084720 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700084720 | NPI | - | NPPES |
| 001700084720 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11061 (Nevada) | Primary |
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