Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 0421935 | KS |
NPI | 1003879974 |
---|---|
Provider Name | Layne M Reusser |
First Address | Wichita, KS 67226-2019 |
Second Address | Wichita, KS 67226-2019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 23/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F61076 | (02) | KS |