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NPI Code Detail

MEDICARE: DR. BEVINS KINWOOD CHUE M.D.

MEDICARE: DR. BEVINS KINWOOD CHUE 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
1208100000XPhysical Medicine & Rehabilitation Physician6910NV

General Provider Information

NPI Number : 1538164793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEVINS KINWOOD CHUE M.D.
Provider Business Mailing Address
First Line : 9850 S MARYLAND PKWY STE A5 PMB 146
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7148
Country : US
Telephone Number : 702-256-3637
Fax Number : 702-386-1042
Provider Business Practice Location Address
First Line : 3022 S DURANGO DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-4440
Country : US
Telephone Number : 702-256-3637
Fax Number : 702-386-1042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 08/27/2025

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