Provider Demographics
NPI:1033307004
Name:GAINER, KEVIN DUANE (CPED, BOCF)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:DUANE
Last Name:GAINER
Suffix:
Gender:M
Credentials:CPED, BOCF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 NORTHPARK DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1638
Mailing Address - Country:US
Mailing Address - Phone:281-354-4772
Mailing Address - Fax:281-354-4566
Practice Address - Street 1:1417 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1638
Practice Address - Country:US
Practice Address - Phone:281-354-4772
Practice Address - Fax:281-354-4566
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist