Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 21151 | KS |
NPI | 1003843715 |
---|---|
Provider Name | David M Kahn |
First Address | Wichita, KS 67208-0035 |
Second Address | Wichita, KS 67208-4511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003567 | BCBS (01) | KS |
12149364 | MULTIPLAN (01) | KS |
16893 | COVENTRY (01) | KS |
200200 | HPK (01) | KS |
464 | PHS (01) | KS |
B69013 | (02) |