Provider Demographics
NPI:1972119709
Name:JINGLE CHING KAVINTA PLLC
Entity Type:Organization
Organization Name:JINGLE CHING KAVINTA PLLC
Other - Org Name:K-MED HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JINGLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVINTA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-600-3721
Mailing Address - Street 1:2625 S RAINBOW BLVD STE C102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5181
Mailing Address - Country:US
Mailing Address - Phone:702-600-3721
Mailing Address - Fax:725-266-7366
Practice Address - Street 1:2625 S RAINBOW BLVD STE C102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5181
Practice Address - Country:US
Practice Address - Phone:702-600-3721
Practice Address - Fax:725-266-7366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty