Individual
KENNETH TODD THUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6548 S MCCARRAN BLVD STE A, RENO, NV 89509-6150
(775) 336-1256
Mailing address
6548 S MCCARRAN BLVD STE A, RENO, NV 89509-6150
(775) 336-1256
(775) 336-6410
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
8854
NV
207Q00000X
Family Medicine Physician
8854
NV
208VP0000X
Pain Medicine Physician
Primary
8854
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504989
—
NV
Enumeration date
04/03/2006
Last updated
10/01/2025
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