Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 04-26228 | KS |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 04-26228 | KS |
NPI | 1023054475 |
---|---|
Provider Name | Dr. Terance T Tsue |
First Address | Kansas City, MO 64141-1851 |
Second Address | Kansas City, KS 66160-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 19/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100189750A | (05) | KS |
G29590 | (02) | KS |