Individual
DR. KENT DEVON GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W PACIFIC AVE, TELLURIDE, CO 81435
(970) 728-3848
(970) 728-3404
Mailing address
PO BOX 1229, TELLURIDE, CO 81435-1229
(970) 728-3848
(970) 728-3404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33710
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01337104
—
CO
Enumeration date
08/16/2006
Last updated
07/08/2007
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