MEDICARE: KRIS BUXENBAUM

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	225400000X	Rehabilitation Practitioner		NV

General Provider Information

NPI Number	:	1043640097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRIS BUXENBAUM

Provider Business Mailing Address
First Line	:	5230 W PATRICK LN STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-5852
Country	:	US
Telephone Number	:	702-570-5100
Fax Number	:	702-570-5104

Provider Business Practice Location Address
First Line	:	4310 CAMERON ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3826
Country	:	US
Telephone Number	:	702-570-5100
Fax Number	:	702-570-5104

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

Provider Enumeration Date	:	11/12/2013
Last Update Date	:	11/12/2013

Similar Medicare Providers

1780935106 — MS. PAMELA BLACK
Practice Location Address:

4310 CAMERON ST STE 11
LAS VEGAS, NV
89103-3826

Practice Phone: 702-570-5100
Practice Fax:

1598108169 — MR. NATHANIEL R YOUNG
Practice Location Address:

4310 CAMERON ST , UNIT 11
LAS VEGAS, NV
89103-3826

Practice Phone: 702-570-5100
Practice Fax: 702-570-5104

1457786089 — EDWARD CALL
Practice Location Address:

4310 CAMERON ST STE 11
LAS VEGAS, NV
89103-3826

Practice Phone: 702-570-5100
Practice Fax: 702-570-5104

1962830372 — NONETTE PERLAS
Practice Location Address:

4310 CAMERON ST , #11
LAS VEGAS, NV
89103-3826

Practice Phone: 702-540-1966
Practice Fax:

1053741041 — HOWARD CHUNG
Practice Location Address:

4310 CAMERON ST , SUITE 11
LAS VEGAS, NV
89103-3826

Practice Phone: 702-570-5100
Practice Fax:

1164019725 — DNA ANALYTICAL LABORATORY LV LLC
Practice Location Address:

4310 CAMERON ST STE 9
LAS VEGAS, NV
89103-3826

Practice Phone: 702-550-0124
Practice Fax: 702-675-8122

Directions to “ KRIS BUXENBAUM ” 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.