Provider Demographics
NPI:1760019335
Name:NGO, KEVIN (DO)
Entity type:Individual
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First Name:KEVIN
Middle Name:
Last Name:NGO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:725-231-9260
Mailing Address - Fax:833-749-0364
Practice Address - Street 1:4813 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6188
Practice Address - Country:US
Practice Address - Phone:725-231-9260
Practice Address - Fax:833-749-0364
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2025-02-28
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Provider Licenses
StateLicense IDTaxonomies
NVDO3237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine