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
Fax: (833) 749-0366
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609109644 NPPES
Nevada MEDICAID 1609109644
Nevada Other V75834

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