Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 19689 | NV |
N | 2084N0400X | Neurologist | A129006 | CA |
NPI | 1033408679 |
---|---|
Provider Name | Charles E Kamen |
First Address | Las Vegas, NV 89106-4145 |
Second Address | Las Vegas, NV 89106-4145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 22/11/2021 |