Basic Information
| Provider Information | |||||||||
| NPI: | 1437560620 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KANDEL | ||||||||
| FirstName: | SEAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1155 MILL ST # MCM14 | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895021576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7759825262 | ||||||||
| FaxNumber: | 7759828041 | ||||||||
| Practice Location | |||||||||
| Address1: | 6130 PLUMAS ST | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895196060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7759821000 | ||||||||
| FaxNumber: | 7759828041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2014 | ||||||||
| LastUpdateDate: | 01/27/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 56723 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | DO3048 | NV | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.