Duddy, Blair Kaichen
Duddy, Blair Kaichen is an individual health care provider with primary practice located at 2704 N Tenaya Way , Las Vegas NV 89128-0424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Duddy, Blair Kaichen can be contacted via phone (702) 243-8500.Contact Information
Primary practice address
2704 N Tenaya Way
Las Vegas NV 89128-0424
Phone: (702) 243-8500
Fax: (702) 869-5347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 7316 | Nevada |
Profile Details
| NPI number | 1063414761 |
|---|---|
| LBN Legal business name | Duddy, Blair Kaichen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Sep 1st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063414761 | NPPES |
| Nevada | MEDICAID | 1063414761 | |
| Nevada | Other | V114364 |
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