Daniel Kenn Guillen Mendoza
Child Neurologist
848 Adams Ave Ste L400
Memphis
, Tennessee 38103-2816
Daniel Kenn Guillen Mendoza
Child Neurologist
848 Adams Ave Ste L400
Memphis
, Tennessee 38103-2816
(901) 287-6804
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Daniel Kenn Guillen Mendoza
- 850 Poplar Ave Bldg 2
- Memphis, TN
- Zip : 38105-4607
- Fax : (901) 287-6804
- Phone : (901) 287-8693
Second Address
- Daniel Kenn Guillen Mendoza
- 848 Adams Ave Ste L400
- Memphis, TN
- Zip : 38103-2816
- Fax : (901) 287-4540
- Phone : (901) 287-7337
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Is Daniel Kenn Guillen Mendoza a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 61963 | TN |
National Provider Identifier
| NPI | 1205219995 |
|---|---|
| Provider Name | Daniel Kenn Guillen Mendoza |
| First Address | Memphis, TN 38105-4607 |
| Second Address | Memphis, TN 38103-2816 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2015 |
| Last Update Date | 22/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.