MEDICARE: KEVIN CHARLES GO

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

General Provider Information

NPI Number	:	1205273455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN CHARLES GO

Provider Business Mailing Address
First Line	:	3993 SPRING MOUNTAIN RD # 212
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8613
Country	:	US
Telephone Number	:	702-332-5941
Fax Number	:

Provider Business Practice Location Address
First Line	:	3993 SPRING MOUNTAIN RD # 212
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8613
Country	:	US
Telephone Number	:	702-332-5941
Fax Number	:

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

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	05/29/2013

Similar Medicare Providers

1033400361 — JADE DENTAL INC
Practice Location Address:

3959 SPRING MOUNTAIN RD
LAS VEGAS, NV
89102-8613

Practice Phone: 702-220-7005
Practice Fax: 702-220-7004

1881526333 — KRYSTLE GROSECLOSE
Practice Location Address:

10040 ALTA DR
LAS VEGAS, NV
89145-8613

Practice Phone: 702-732-6000
Practice Fax:

1063679249 — MEKDELAWIT ASCHENAKI MD
Practice Location Address:

10040 ALTA DR
LAS VEGAS, NV
89145-8613

Practice Phone: 702-360-7600
Practice Fax: 702-363-3814

1922594332 — VESNA RADIVOJEVIC
Practice Location Address:

10040 ALTA DR
LAS VEGAS, NV
89145-8613

Practice Phone: 702-360-7600
Practice Fax: 702-363-3814

1417502964 — JAMAL CLARK
Practice Location Address:

8613 PALOMINO RANCH ST
LAS VEGAS, NV
89131-5244

Practice Phone: 312-401-1127
Practice Fax:

1598201709 — AVANA PERSONAL CARE, LLC
Practice Location Address:

4550 W OAKEY BLVD # 111-R
LAS VEGAS, NV
89102-1581

Practice Phone: 702-347-7432
Practice Fax: 702-447-7122

Directions to “ KEVIN CHARLES GO ” 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.