Provider Demographics
NPI:1205862182
Name:GABRIEL, KENT W (MD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:W
Last Name:GABRIEL
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:PO BOX 34120
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89533-4120
Mailing Address - Country:US
Mailing Address - Phone:775-885-8890
Mailing Address - Fax:775-885-8865
Practice Address - Street 1:704 W NYE LANE
Practice Address - Street 2:SUITE 102
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-1569
Practice Address - Country:US
Practice Address - Phone:775-885-8890
Practice Address - Fax:775-885-8865
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7252207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002013052Medicaid
NVF20701Medicare UPIN
NV100208Medicare PIN