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1043530074
KIMBALL SCOTT KNACKSTEDT
RENO, NV
NPI
1043530074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: WV 3203)
Enumeration Date
2010-06-01
Last Update Date
2019-12-26
Business Address
Mr. KIMBALL SCOTT KNACKSTEDT D.O.
1500 E 2ND ST STE 300
RENO, NV 89502-1198
Phone number: 775-982-5000
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Mailing Address
Mr. KIMBALL SCOTT KNACKSTEDT D.O.
850 HARVARD WAY
RENO, NV 89502-2055
Phone number: 775-982-5262
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