Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0433174 | KS |
Y | 111NI0900X | Internist | 0433174 | KS |
N | 207RH0002X | Hospice and Palliative Medicine | 0433174 | KS |
NPI | 1265652796 |
---|---|
Provider Name | Ky Stoltzfus |
First Address | Kansas City, KS 66160-0001 |
Second Address | Kansas City, KS 66160-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 03/09/2013 |