Healthcare Provider Details

I. General information

NPI: 1053871590
Provider Name (Legal Business Name): KAYLA CHRISTINE ROWLES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA CHRISTINE NANG DO

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 S RAINBOW BLVD STE 182
LAS VEGAS NV
89118-1896
US

IV. Provider business mailing address

6355 S BUFFALO DR FL 3
LAS VEGAS NV
89113-2133
US

V. Phone/Fax

Practice location:
  • Phone: 702-255-3547
  • Fax: 702-212-4993
Mailing address:
  • Phone: 702-216-3346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberDO3350
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: