Individual
KENT E GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 384-8181
(719) 384-4872
Mailing address
2201 SAN JUAN AVE, LA JUNTA, CO 81050-3323
(719) 384-8181
(719) 384-4872
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
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