Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 04-20772 | KS |
NPI | 1235312877 |
---|---|
Provider Name | Dr. Kiritkumar Sureshkumar Patel |
First Address | Fort Riley, KS 66442-4030 |
Second Address | Fort Riley, KS 66442-4030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2007 |
Last Update Date | 05/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040374 | (02) | KS |
D88693 | (02) | KS |