Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME 40657 | FL |
N | 208600000X | Surgeon | ME 40657 | FL |
Y | 2086S0129X | Vascular Surgeon | 45490 | AZ |
N | 2086S0129X | Vascular Surgeon | 7004934-1205 | UT |
NPI | 1134220882 |
---|---|
Provider Name | Dr. Kenneth B Seifert |
First Address | Scottsdale, AZ 85255-5483 |
Second Address | Scottsdale, AZ 85255-5483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 10/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D62187 | (02) |