Individual
DR. KEVIN PETER FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
280 VISTA KNOLL PKWY STE 114, RENO, NV 89506-5649
(775) 971-9282
Mailing address
9870 DOUBLE R BLVD UNIT 424, RENO, NV 89521-3189
(516) 987-4134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7090
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7090
NEVADA STATE DENTAL BOARD
NV
Enumeration date
08/01/2018
Last updated
08/01/2018
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