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Individual

DR. KENNETH W PITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
605 SIERRA ROSE DR, SUITE 4, RENO, NV 89511-2060
(775) 689-5410
(775) 689-5431
Mailing address
605 SIERRA ROSE DR, SUITE 4, RENO, NV 89511-2060
(775) 689-5410
(775) 689-5431

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5263
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050057643
RAILROAD MEDICARE
NV
01
NV9242
BLUE CROSS BLUE SHIELD
NV
Enumeration date
07/06/2006
Last updated
04/03/2014
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