NPI 1780871020

Kevin J Iannazzo, CO

Practitioner Orthotist Las Vegas, NV

Practice location

Address: 526 S Tonopah Dr STE 120, Las Vegas, NV 89106-4044
Phone: (702) 336-9681

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1780871020
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2007
Record last updated: 1 Oct 2007

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.