Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 60602 | KS |
NPI | 1225312911 |
---|---|
Provider Name | Dr. Ruohong Liu |
First Address | Leawood, KS 66224-4574 |
Second Address | Leawood, KS 66224-4574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2011 |
Last Update Date | 17/07/2014 |