Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 7252 | NV |
NPI | 1205862182 |
---|---|
Provider Name | Dr. Kent W Gabriel |
First Address | Reno, NV 89533-4120 |
Second Address | Carson City, NV 89703-1569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 10/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002013052 | (05) | NV |
F20701 | (02) | NV |