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

Kris Thanesjesdapong

Individual provider Physician Assistant · NPI 1760120448

Kris Thanesjesdapong is a Physician Assistant in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2022
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Practice location Address checks out

8192 Sorrel St
Las Vegas, NV 89139-6905
Phone: (702) 588-3306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2828 (NV)

Record details

NPI number1760120448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2022
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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