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NPI Code Detail

MEDICARE: MANUEL LEANO KWEK APN

MEDICARE:   MANUEL LEANO KWEK  APN
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
1363LP0200XPediatric Nurse PractitionerAPN001371NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11083975379OTHERNVNPI
2APN001371OTHERNVAPN
3CS20110OTHERNVNV STATE PHARMACY
4RN66413OTHERNVRN

General Provider Information

NPI Number : 1083975379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL LEANO KWEK APN
Provider Business Mailing Address
First Line : 3100 W CHARLESTON BLVD
Second Line : SUITE 200
City : LAS VEGAS
State : NV
Zip : 89102-2023
Country : US
Telephone Number : 702-388-4428
Fax Number : 702-388-4312
Provider Business Practice Location Address
First Line : 3100 W CHARLESTON BLVD
Second Line : SUITE 200
City : LAS VEGAS
State : NV
Zip : 89102-2023
Country : US
Telephone Number : 702-388-4428
Fax Number : 702-388-4312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2012
Last Update Date : 03/07/2023

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Directions to “ MANUEL LEANO KWEK APN” Practice Location

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