Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0431344 | KS |
NPI | 1063414605 |
---|---|
Provider Name | Bell M Razafindrabe |
First Address | Great Bend, KS 67530-4627 |
Second Address | Great Bend, KS 67530-4627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 05/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144072 | (02) | KS |
200354350A | (05) | KS |
200354350C | (05) | KS |
I44072 | (02) | KS |
P00290737 | RR MEDICARE (01) | KS |