Provider Demographics
NPI:1912419052
Name:DOWNING, KEVIN LEE (NP)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:LEE
Last Name:DOWNING
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:6170 N DURANGO DR STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-3923
Practice Address - Country:US
Practice Address - Phone:702-940-1550
Practice Address - Fax:702-940-1551
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2025-01-06
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Provider Licenses
StateLicense IDTaxonomies
NV815325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1912419052Medicaid
NV815325OtherSTATE LICENSE