Abanonu, Kasey Laz
Abanonu, Kasey Laz is an individual health care provider with primary practice located at 4919 W Craig Rd , Las Vegas NV 89130-2730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abanonu, Kasey Laz can be contacted via phone (725) 220-8706.Contact Information
Primary practice address
4919 W Craig Rd
Las Vegas NV 89130-2730
Phone: (725) 220-8706
Fax: (833) 749-0366
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14139 | Nevada |
Profile Details
NPI number | 1609109644 |
---|---|
LBN Legal business name | Abanonu, Kasey Laz |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2009 |
Last updated | Dec 2nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609109644 | NPPES |
Nevada | MEDICAID | 1609109644 | |
Nevada | Other | V75834 |
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