Provider Demographics
NPI:1073823258
Name:GAMETT, KEVIN MICHAEL (MD)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:MICHAEL
Last Name:GAMETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 RYLAND ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1605
Mailing Address - Country:US
Mailing Address - Phone:775-329-0286
Mailing Address - Fax:
Practice Address - Street 1:950 RYLAND ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1605
Practice Address - Country:US
Practice Address - Phone:775-329-0286
Practice Address - Fax:775-329-2725
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15890207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVWCHKPMedicare PIN
NVCP8528Medicare PIN