Mcintyre, Kenneth E

Mcintyre, Kenneth E is an individual health care provider with primary practice located at 1707 W Charleston Blvd #160, Patient Care Center, Las Vegas NV 89102-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mcintyre, Kenneth E can be contacted via phone (702) 671-5150.

Contact Information

Primary practice address
1707 W Charleston Blvd #160, Patient Care Center Las Vegas NV 89102-2351
Fax: (702) 684-6493
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 10314 Nevada

Profile Details

NPI number 1740268556
LBN Legal business name Mcintyre, Kenneth E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1740268556 NPPES
Nevada MEDICAID 002018582
Nevada Other CS11417

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