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

Kenneth J Boone Sr., MD-INTERN

Individual provider Counselor · NPI 1679346290

Kenneth J Boone Sr., MD-INTERN is a Counselor in North las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2023

Practice location Address checks out

1703 Civic Center Dr Ste 5
North las Vegas, NV 89030-7273
Phone: (716) 308-0228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4580 S Eastern Ave Ste 33, Las Vegas, NV 89119-6100 — (716) 308-0228

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CI5343 (NV)

Record details

NPI number1679346290
Entity typeIndividual (Type 1)
GenderMale
Credentials MD-INTERN
Sole proprietorYes
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 5, 2023
Mailing address4225 S Eastern Ave., Ste. 6, Unit 126, Las Vegas, NV 89119

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