Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 5527 | KS |
NPI | 1003884420 |
---|---|
Provider Name | Dr. Robert Allen Exon |
First Address | Topeka, KS 66604 |
Second Address | Topeka, KS 66604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 08/07/2007 |