Provider Demographics
NPI:1316615529
Name:HOHN, KEVIN GREGORY (OTR/L)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:GREGORY
Last Name:HOHN
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CASCADE MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-2544
Mailing Address - Country:US
Mailing Address - Phone:702-934-1853
Mailing Address - Fax:
Practice Address - Street 1:8374 W CAPOVILLA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3305
Practice Address - Country:US
Practice Address - Phone:702-763-6174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVOT-2362225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist