Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0438508 | KS |
N | 208000000X | Pediatrician | 2015036169 | MO |
N | 208000000X | Pediatrician | 36917 | IA |
Y | 2080P0210X | Pediatric Nephrologist | 0438508 | KS |
N | 2080P0210X | Pediatric Nephrologist | 2015036169 | MO |
N | 2080P0210X | Pediatric Nephrologist | 36917 | IA |
NPI | 1578786000 |
---|---|
Provider Name | Ari Auron |
First Address | Kansas City, MO 64108-4619 |
Second Address | Wichita, KS 67208-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 10/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1578786000 | (05) | IA |
175150005 | MEDICARE (01) | IA |