Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | 04-32547 | KS |
Y | 2082S0105X | Plastic Hand Surgeon | 103732 | MO |
N | 2086S0122X | Plastic and Reconstructive Surgery | 04-32547 | KS |
N | 2086S0122X | Plastic and Reconstructive Surgery | 103732 | MO |
NPI | 1730105040 |
---|---|
Provider Name | Christine J Cheng |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 30/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38579014 | BCBSKC (01) | KS |
7632001 | AETNA (01) | |
H01796 | (02) |