Provider Demographics
NPI:1871565747
Name:LINKUS, KEVIN A (MD)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:A
Last Name:LINKUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:411 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4415
Mailing Address - Country:US
Mailing Address - Phone:775-770-7600
Mailing Address - Fax:775-770-7880
Practice Address - Street 1:645 N ARLINGTON AVE STE 555
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4452
Practice Address - Country:US
Practice Address - Phone:775-770-7622
Practice Address - Fax:775-770-3683
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5926208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016323Medicaid
NV002016323Medicaid
330001393Medicare PIN
NVV33WCGZR03Medicare PIN