Individual
DR. KENT CHAPIN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 N HILLS BLVD, #180, RENO, NV 89506-5732
(775) 982-5000
(775) 982-6558
Mailing address
780 KUENZLI ST, SUITE 202, RENO, NV 89502-1011
(775) 982-4590
(775) 982-4595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12470
NV
207Q00000X
Family Medicine Physician
G55836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11934121
CAQH
—
Enumeration date
10/24/2005
Last updated
11/13/2009
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