Individual
KEN OBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 E 2ND ST STE 1230, RENO, NV 89501-1587
(775) 260-2471
(775) 357-8042
Mailing address
300 E 2ND ST STE 1230, RENO, NV 89501-1587
(775) 260-2471
(775) 357-8042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO3696
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
07/01/2024
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