| NPI | 1588011258 |
|---|---|
| Doing Business As | KENNETH M. JARVIS DPM |
| Entity Type | Organization |
| Authorized Contact | KENNETH M JARVIS President 702-810-1748 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NV 0108) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |