Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 53-78215 | KS |
NPI | 1306338017 |
---|---|
Provider Name | Lindsay Bowers Hasselwander |
First Address | Prairie Vlg, KS 66202-4311 |
Second Address | Westwood, KS 66205-2003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2018 |
Last Update Date | 30/05/2018 |