Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 0422210 | KS |
N | 207RR0500X | Rheumatology | MD R9J82 | MO |
NPI | 1023034923 |
---|---|
Provider Name | Dr. Arnold Leslie Katz |
First Address | Overland Park, KS 66215-2308 |
Second Address | Overland Park, KS 66215-2308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 15/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D88938 | (02) |