Kyle Takeshi Yamamoto
Otolaryngology/Facial Plastic Surgery
3614 Lakeside Dr Ste 100
Reno
, Nevada 89509-5285
Kyle Takeshi Yamamoto
Otolaryngology/Facial Plastic Surgery
3614 Lakeside Dr Ste 100
Reno
, Nevada 89509-5285
(775) 525-1712
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Kyle Takeshi Yamamoto
- 3614 Lakeside Dr Ste 100
- Reno, NV
- Zip : 89509-5285
- Phone : (775) 525-1712
Second Address
- Kyle Takeshi Yamamoto
- 3614 Lakeside Dr Ste 100
- Reno, NV
- Zip : 89509-5285
- Phone : (775) 525-1712
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 15693 | NV |
National Provider Identifier
| NPI | 1568698439 |
|---|---|
| Provider Name | Kyle Takeshi Yamamoto |
| First Address | Reno, NV 89509-5285 |
| Second Address | Reno, NV 89509-5285 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2009 |
| Last Update Date | 15/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.