Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 04-29526 | KS |
NPI | 1184620585 |
---|---|
Provider Name | Hannah Vargas |
First Address | Kansas City, MO 64187-0001 |
Second Address | Olathe, KS 66061 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 27/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31908012 | BCBS - KC (01) | |
470383 | BCBS - KS (01) | |
522765 | HEALTHLINK (01) | |
D40017905 | MEDICARE RAILROAD (01) | |
H71307 | (02) |