Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 16821 | NV |
N | 207X00000X | Orthopaedic Surgeon | 6556 | NE |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 16821 | NV |
NPI | 1053609073 |
---|---|
Provider Name | Dr. Kaitlin C Neary |
First Address | Reno, NV 89503-4723 |
Second Address | Reno, NV 89503-4723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2011 |
Last Update Date | 07/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053609073 | (05) | NV |
13885664 | CAQH (01) |