Individual
KENT E GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21632
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01216324
—
CO
01
—
DR21632
LICENSE
CO
01
—
P00341419
RAILROAD MEDICARE
CO
Enumeration date
07/07/2006
Last updated
04/18/2008
Update your record
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