Kuruvilla, Kevin

Kuruvilla, Kevin is an sole proprietor health care provider with primary practice located at 1707 W Charleston Blvd Ste 160 , Las Vegas NV 89102-2354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Kuruvilla, Kevin can be contacted via phone (702) 671-5150.

Contact Information

Primary practice address
1707 W Charleston Blvd Ste 160 Las Vegas NV 89102-2354
Phone: (702) 671-5150
Fax: (702) 384-6493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19010 Nevada
Allopathic & Osteopathic Physicians / Surgery 208600000X LP03107 Rhode Island
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 19010 Nevada

Profile Details

NPI number 1134531908
LBN Legal business name Kuruvilla, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2014
Last updated Aug 31st, 2021 - about 3 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 1134531908 NPPES
Nevada MEDICAID 1134531908

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