Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 23010 | KS |
NPI | 1164459558 |
---|---|
Provider Name | Kenneth A Scheinberg |
First Address | Wichita, KS 67201-8544 |
Second Address | Wichita, KS 67226-1352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 14/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1163 | PHS (01) | KS |
12149400 | MULTIPLAN (01) | KS |
16922 | COVENTRY (01) | KS |
200150 | HPK (01) | KS |
B20398 | (02) |