Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 04-29546 | KS |
NPI | 1023020922 |
---|---|
Provider Name | James Patrick Birkbeck |
First Address | Topeka, KS 66606-1677 |
Second Address | Topeka, KS 66606-1677 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 21/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200347160A | (05) | KS |
I37466 | (02) |