NPI 1124423033
Kenneth Mesa
Practice location
- Address
- 6649 Pepperidge Way, Las Vegas, NV 89108-5366
- Phone
- (702) 772-9505
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1124423033
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2014
- Record last updated
- 4 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.