Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 21001 | NV |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 21001 | NV |
NPI | 1417375742 |
---|---|
Provider Name | Dr. Kerac Nelson Falk |
First Address | Reno, NV 89557-0001 |
Second Address | Reno, NV 89557-6504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 28/06/2021 |