Individual
KENNY DE MEIRLEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1664 N VIRGINIA ST # MS 0552, RENO, NV 89557-0001
(775) 682-8504
Mailing address
1664 N VIRGINIA ST # MS 0552, RENO, NV 89557-0001
(775) 682-8504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RL00242
NV
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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