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NPI Code Detail

MEDICARE: CHARLES E KAMEN M.D.

MEDICARE:   CHARLES E KAMEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician19689NV

General Provider Information

NPI Number : 1033408679
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES E KAMEN M.D.
Provider Business Mailing Address
First Line : 9975 S EASTERN AVE STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7951
Country : US
Telephone Number : 702-808-2650
Fax Number :
Provider Business Practice Location Address
First Line : 9975 S EASTERN AVE STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7951
Country : US
Telephone Number : 702-808-2650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2011
Last Update Date : 06/12/2026

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Directions to “ CHARLES E KAMEN M.D.” Practice Location

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