Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01077049 | IN |
N | 208000000X | Pediatrician | DR0058289 | CO |
Y | 2080P0214X | Pediatric Pulmonologist | 2020027339 | MO |
NPI | 1013355577 |
---|---|
Provider Name | Dr. Erin Kelsey Khan |
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 | 06/06/2013 |
Last Update Date | 24/03/2021 |