Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2006017323 | MO |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A125381 | CA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 0055033 | CO |
NPI | 1811016561 |
---|---|
Provider Name | Dr. Zachary Thomas Kneass |
First Address | Denver, CO 80247-1314 |
Second Address | Lone Tree, CO 80124-5425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 03/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
026105 | KAISER COMMERCIAL NUMBER (01) | CO |
86681516 | (05) | CO |