Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 04-28013 | KS |
Y | 208600000X | Surgeon | 04-28013 | KS |
N | 2086S0105X | Surgery of the Hand | 04-28013 | KS |
NPI | 1134131402 |
---|---|
Provider Name | Dr. Kenneth Allen Fischer |
First Address | Manhattan, KS 66502-2906 |
Second Address | Manhattan, KS 66502-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 30/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100396860A | (05) | KS |
H43269 | (02) | KS |