Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kasey Laz Abanonu Jr., MD

Individual provider Internal Medicine Physician · NPI 1609109644

Dr. Kasey Laz Abanonu Jr., MD is an Internal Medicine in Las Vegas, Nevada. Qualified in 2006, 20 years ago. Practices with Centerwell Senior Primary Care Nv P C, a 85-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
20
Licensed in
NV
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4919 W Craig Rd
Las Vegas, NV 89130-2730
Phone: (725) 220-8706
Fax: (833) 749-0366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 14139 (NV)

Record details

NPI number1609109644
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 9, 2009
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Centerwell Senior Primary Care Nv P C — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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