Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 12404 | NV |
N | 207PE0004X | Emergency Medical Services | 12404 | NV |
NPI | 1134107519 |
---|---|
Provider Name | Heidi A Kabler |
First Address | Las Vegas, NV 89125-1569 |
Second Address | Las Vegas, NV 89128-0436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 11/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I45310 | (02) | OH |