Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 01-05565 | KS |
N | 111NN1001X | Nutrition | 01-05565 | KS |
N | 111NP0017X | Pediatric Chiropractor | 01-05565 | KS |
N | 111NR0200X | Radiology | 01-05565 | KS |
N | 213ER0200X | Radiology | 01-05565 | KS |
N | 111NR0400X | Rehabilitation Chiropractor | 01-05565 | KS |
N | 111NS0005X | Chiropractic Sports Physician | 01-05565 | KS |
N | 111NX0100X | Occupational Health | 01-05565 | KS |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 01-05565 | KS |
NPI | 1124453089 |
---|---|
Provider Name | Dr. Kamraan Syed Husain |
First Address | Shawnee, KS 66214-1372 |
Second Address | Shawnee, KS 66214-1372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2013 |
Last Update Date | 11/09/2013 |