Provider Demographics
NPI:1255631313
Name:HSIUNG, KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:HSIUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 W WARM SPRINGS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4332
Mailing Address - Country:US
Mailing Address - Phone:702-213-5601
Mailing Address - Fax:702-213-5606
Practice Address - Street 1:1528 W WARM SPRINGS RD STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4332
Practice Address - Country:US
Practice Address - Phone:702-213-5601
Practice Address - Fax:702-213-5606
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD7880207V00000X
FLME104637207V00000X
NV14978207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1255631313Medicaid
NVV106622Medicare PIN