IndividualActive
Michael Kerrigan, OMD
NPI 1104918382 · Specialist · Incline Village, NV
Provider details
- NPI number
- 1104918382
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- OMD
- Sex
- Male
- Sole proprietor
- No
- License
- NV1005 (NV)
Specialties & taxonomies
Other Service Providers
Practice location
917 Tahoe Blvd Ste 300
Incline Village, NV 89451-9430
Phone: (775) 832-3788
Approximate (ZIP-level) locationGet directions
Mailing address
917 Tahoe Blvd Ste 300
Incline Village, NV 89451-9430
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.