Ken L Cheyne
Adolescent Medicine
1212 Pleasant St Suite 406
Des Moines
, Iowa 50309-1453
Ken L Cheyne
Adolescent Medicine
1212 Pleasant St Suite 406
Des Moines
, Iowa 50309-1453
(515) 241-6465
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Ken L Cheyne
- 1212 Pleasant St Suite 406
- Des Moines, IA
- Zip : 50309-1453
- Fax : (515) 241-6465
- Phone : (515) 241-8336
Second Address
- Ken L Cheyne
- 1212 Pleasant St Suite 406
- Des Moines, IA
- Zip : 50309-1453
- Fax : (515) 241-6465
- Phone : (515) 241-8336
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 23873 | IA |
National Provider Identifier
| NPI | 1053305086 |
|---|---|
| Provider Name | Ken L Cheyne |
| First Address | Des Moines, IA 50309-1453 |
| Second Address | Des Moines, IA 50309-1453 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2005 |
| Last Update Date | 19/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053305086 | (05) | IA |
| 1053305086 | (05) | MO |
| 53506 | MEDICARE (01) | |
| A03056 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.