Individual provider · NPI-1

Dr. Kasey Laz Abanonu Jr., MD

Internal Medicine · Las Vegas, NV

NPI number1609109644
StatusActive
Last updated in NPPESSep 30, 2026

Details

NPI
1609109644
Entity type
Individual (NPI-1)
Name
Dr. Kasey Laz Abanonu Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2009
Certification date
Sep 30, 2026
Last updated
Sep 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine14139NVYes

Practice location

2100 W Charleston Blvd
Las Vegas, NV 89102-2224

Phone 702-383-2000

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

Phone 702-383-2000

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