MEDICARE: KENNETH HODGE

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1336575281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH HODGE

Provider Business Mailing Address
First Line	:	3771 KING PALM AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-8134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3771 KING PALM AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-8134
Country	:	US
Telephone Number	:	702-426-8311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	09/24/2013

Similar Medicare Providers

1770821100 — ERIN SHAW
Practice Location Address:

6300 MCCARRAN ST UNIT 1027
NORTH LAS VEGAS, NV
89081-8134

Practice Phone: 801-633-6490
Practice Fax:

1699364422 — MARLA ELLEN WINTERS LPCC
Practice Location Address:

8134 MADDINGLEY AVE
LAS VEGAS, NV
89117-7638

Practice Phone: 702-600-2013
Practice Fax:

1669305884 — FOND HEARTS
Practice Location Address:

3923 VIA LUCIA DR
LAS VEGAS, NV
89115-0280

Practice Phone: 314-327-5104
Practice Fax: 314-327-5104

1417940933 — FAMILY MEDICAL OF NEVADA, INC.
Practice Location Address:

4230 N PECOS RD
LAS VEGAS, NV
89115-0196

Practice Phone: 702-643-6639
Practice Fax: 702-643-0208

1194783530 — DR. BRADLEY S WALKER M.D.
Practice Location Address:

1735 N NELLIS BLVD STE G
LAS VEGAS, NV
89115-3671

Practice Phone: 702-342-8804
Practice Fax:

1043266836 — DR. PHILIP M HESS MD
Practice Location Address:

3955 N PECOS RD
LAS VEGAS, NV
89115

Practice Phone: 702-555-1212
Practice Fax:

Directions to “ KENNETH HODGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.