Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 04-35729 | KS |
NPI | 1053368118 |
---|---|
Provider Name | Dr. Kevin K Nasseri |
First Address | Topeka, KS 66606-1764 |
Second Address | Topeka, KS 66606-1764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 29/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200912040A | (05) | KS |
G49582 | (02) |