Healthcare Provider Details

I. General information

NPI: 1306927694
Provider Name (Legal Business Name): THOMAS FRANCIS KINSORA PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 S 6TH ST
LAS VEGAS NV
89101-6922
US

IV. Provider business mailing address

716 S 6TH ST
LAS VEGAS NV
89101-6922
US

V. Phone/Fax

Practice location:
  • Phone: 702-382-1960
  • Fax: 702-382-4993
Mailing address:
  • Phone: 702-382-1960
  • Fax: 702-382-4993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPY265
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: