Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 635 | NV |
NPI | 1013029164 |
---|---|
Provider Name | Dr. Kay N Gubler |
First Address | Las Vegas, NV 89121 |
Second Address | Las Vegas, NV 89121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |