Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 04-13844 | KS |
NPI | 1225033079 |
---|---|
Provider Name | James Harley Ransom |
First Address | Topeka, KS 66604-1774 |
Second Address | Topeka, KS 66604-1774 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B69094 | (02) |