Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME123553 | FL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D81011 | MD |
NPI | 1427373661 |
---|---|
Provider Name | Dr. Ke Xie |
First Address | Catonsville, MD 21228-4516 |
Second Address | Temple Terrace, FL 33637-0925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2010 |
Last Update Date | 10/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1427373661 | (05) | FL |
1513Y | FLORIDA BLUE (01) | FL |