NPI 1215373402 · live from the CMS NPI Registry
Kathryn Akemi Ando, PA-C
Physician Assistant in Henderson, NV. National Provider Identifier 1215373402, active.
NPI record
| NPI | 1215373402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 102 E Lake Mead Pkwy, Henderson, NV 89015 |
| Practice phone | 026-164-6007 |
| Enumerated | May 15, 2013 |
| Last updated | June 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA22959 (CA) |
| Physician Assistant primary | 363A00000X | PA2048 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.