Pitman, Kenneth W

Pitman, Kenneth W is an individual health care provider with primary practice located at 605 Sierra Rose Dr Suite 4, Reno NV 89511-2060. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pitman, Kenneth W can be contacted via phone (775) 689-5410.

Contact Information

Primary practice address
605 Sierra Rose Dr Suite 4 Reno NV 89511-2060
Phone: (775) 689-5410
Fax: (775) 689-5431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5263 Nevada

Profile Details

NPI number 1790716652
LBN Legal business name Pitman, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790716652 NPPES
Nevada Other NV9242 BLUE CROSS BLUE SHIELD
Nevada Other 050057643 BLUE CROSS BLUE SHIELD

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