Dr. Kenneth Osita Edmunds
Internist Internist - Addiction Medicine
1000 S Rainbow Blvd
Las Vegas
, Nevada 89145
Dr. Kenneth Osita Edmunds
Internist Internist - Addiction Medicine
1000 S Rainbow Blvd
Las Vegas
, Nevada 89145
(702) 671-6883
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Kenneth Osita Edmunds
- Po Box 98978
- Las Vegas, NV
- Zip : 89193-8978
- Fax : (702) 671-6883
- Phone : (702) 216-3346
Second Address
- Dr. Kenneth Osita Edmunds
- 1000 S Rainbow Blvd
- Las Vegas, NV
- Zip : 89145
- Fax : (702) 259-9533
- Phone : (702) 259-0088
Reviews
FAQs
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Is Dr. Kenneth Osita Edmunds a sole practitioner?
Is Dr. Kenneth Osita Edmunds accepting new patients?
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Does Dr. Kenneth Osita Edmunds have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 14060 | MS |
| N | 111NI0900X | Internist | 14060 | MS |
| Y | 207R00000X | Internist | 16321 | NV |
| Y | 111NI0900X | Internist | 16321 | NV |
| N | 207R00000X | Internist | 26192 | TN |
| N | 111NI0900X | Internist | 26192 | TN |
| N | 207RA0401X | Internist - Addiction Medicine | 16321 | NV |
National Provider Identifier
| NPI | 1265466213 |
|---|---|
| Provider Name | Dr. Kenneth Osita Edmunds |
| First Address | Las Vegas, NV 89193-8978 |
| Second Address | Las Vegas, NV 89145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 09/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1265466213 | (05) | NV |
| 16321 | NV STATE LICENSE (01) | NV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.