Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A137183 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 0443121 | KS |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 2019006408 | MO |
NPI | 1598140436 |
---|---|
Provider Name | Dr. Caroline Marie Anne Tougas |
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 | 21/07/2015 |
Last Update Date | 10/04/2020 |