Provider Demographics
NPI:1003681339
Name:KHINE, LIN SHWEYEE
Entity Type:Individual
Prefix:
First Name:LIN
Middle Name:SHWEYEE
Last Name:KHINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8687 W SAHARA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5868
Mailing Address - Country:US
Mailing Address - Phone:702-830-9588
Mailing Address - Fax:
Practice Address - Street 1:8687 W SAHARA AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5868
Practice Address - Country:US
Practice Address - Phone:702-830-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist