Individual ProviderSarah KitchenDentistDental ProvidersPractice Address8380 W Cheyenne Ave, Ste. 102, Las Vegas, NV 89129-8405(702) 388-8989(702) 291-2031PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Kitchen is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1336495837Provider TypeIndividualFull NameKitchen, SarahCredentialDMDGenderFemaleSole ProprietorYesEnumeration Date8/2/2012Last Updated8/24/2016Contact InformationPractice LocationPractice Address8380 W Cheyenne Ave, Ste. 102, Las Vegas, NV 89129-8405Phone(702) 388-8989Fax(702) 396-0075Mailing LocationMailing Address526 S Tonopah Dr, Ste. 200, Las Vegas, NV 89106-4043Phone(702) 291-2031Fax(702) 366-1483Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense6312NevadaProvider IdentifiersIDDescriptionIssuerID1336495837DescriptionMedicaidIssuerUnlistedNevada