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NPI Code Detail

MEDICARE: KIM T DUHON RBT

MEDICARE: KIM T DUHON RBT
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
1103K00000XBehavior AnalystRBT1624173NV

General Provider Information

NPI Number : 1861917049
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM T DUHON RBT
Provider Business Mailing Address
First Line : 5630 RICOCHET AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-3834
Country : US
Telephone Number : 702-234-0003
Fax Number :
Provider Business Practice Location Address
First Line : 7281 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1592
Country : US
Telephone Number : 702-234-0003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2017
Last Update Date : 08/08/2017

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Directions to “ KIM T DUHON RBT” Practice Location

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