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NPI Code Detail

MEDICARE: KUMAR DAVE CEP

MEDICARE: KUMAR DAVE CEP
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
1224Y00000XClinical Exercise Physiologist

General Provider Information

NPI Number : 1477013662
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUMAR DAVE CEP
Provider Business Mailing Address
First Line : 7227 W WINDMILL LN UNIT 175
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3753 HOWARD HUGHES PKWY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0952
Country : US
Telephone Number : 702-900-2872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2019
Last Update Date : 03/22/2019

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Directions to “ KUMAR DAVE CEP” Practice Location

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