Individual
KYLE TAKESHI YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3614 LAKESIDE DR STE 100, RENO, NV 89509-5285
(775) 525-1712
Mailing address
3614 LAKESIDE DR STE 100, RENO, NV 89509-5285
(775) 525-1712
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
15693
NV
Other
Enumeration date
06/05/2009
Last updated
10/26/2023
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