Provider Demographics
NPI:1043841513
Name:GUNN, KYLA D
Entity type:Individual
Prefix:
First Name:KYLA
Middle Name:D
Last Name:GUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10385 SILVER ARROW CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5189
Mailing Address - Country:US
Mailing Address - Phone:775-203-8796
Mailing Address - Fax:
Practice Address - Street 1:10385 SILVER ARROW CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5189
Practice Address - Country:US
Practice Address - Phone:775-203-8796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant