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Contact Information

KEVAN A CAMACHO, AGACNP-BC
3970 W ANN RD STE 100
NORTH LAS VEGAS, NV89031-3853
 Phone: 702-747-4799
 Fax: 702-747-4667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KEVAN A CAMACHO · (Male)

NPI Number 1740903525
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 09/26/2022
Last updated 09/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 827703
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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