Provider Demographics
NPI:1912036773
Name:G KIM BIGLEY MD LTD A NEVADA
Entity Type:Organization
Organization Name:G KIM BIGLEY MD LTD A NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:BIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-324-2234
Mailing Address - Street 1:75 PRINGLE WAY STE 910
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-8405
Mailing Address - Country:US
Mailing Address - Phone:775-324-2234
Mailing Address - Fax:775-324-6015
Practice Address - Street 1:75 PRINGLE WAY STE 910
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:775-324-2234
Practice Address - Fax:775-324-6015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4301174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV34739Medicare ID - Type Unspecified