Mr. Kristopher Kevin Kleinman
Nurse Practitioner - Gerontology
5550 Painted Mirage Rd Ste 217
Las Vegas
, Nevada 89149
Mr. Kristopher Kevin Kleinman
Nurse Practitioner - Gerontology
5550 Painted Mirage Rd Ste 217
Las Vegas
, Nevada 89149
(801) 792-8012
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Kristopher Kevin Kleinman
- 11752 Via Esperanza Ave
- Las Vegas, NV
- Zip : 89138-6025
- Phone : (801) 792-8012
Second Address
- Mr. Kristopher Kevin Kleinman
- 5550 Painted Mirage Rd Ste 217
- Las Vegas, NV
- Zip : 89149
- Phone : (702) 410-9800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 810017 | NV |
National Provider Identifier
| NPI | 1083076269 |
|---|---|
| Provider Name | Mr. Kristopher Kevin Kleinman |
| First Address | Las Vegas, NV 89138-6025 |
| Second Address | Las Vegas, NV 89149 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2016 |
| Last Update Date | 09/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 810017 | NEVADA NURSING BOARD (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.