Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | B01821 | NV |
NPI | 1134751282 |
---|---|
Provider Name | Dr. Kyle Hemsley |
First Address | Reno, NV 89512-1364 |
Second Address | Reno, NV 89502-4141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2020 |
Last Update Date | 06/02/2020 |