Individual
DR. KATHLEEN R LEGARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6630 S MCCARRAN BLVD, STE B18, RENO, NV 89509-6135
(775) 823-1990
(775) 823-1974
Mailing address
PO BOX 20189, RENO, NV 89515-0189
(775) 689-9117
(775) 827-6715
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11962
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11962
MEDICAL LICENSE
NV
01
—
A77755
STATE LICENSE
CA
Enumeration date
07/08/2005
Last updated
03/07/2023
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