Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.137317 | OH |
N | 208600000X | Surgeon | 35.137317 | OH |
Y | 2086X0206X | Surgical Oncologist | 35.137317 | OH |
NPI | 1144511320 |
---|---|
Provider Name | Dr. Luke V. Selby |
First Address | Kansas City, KS 66160-8501 |
Second Address | Westwood, KS 66205-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2011 |
Last Update Date | 26/01/2022 |