Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 10614 | TN |
NPI | 1083659163 |
---|---|
Provider Name | Michel E Kuzur |
First Address | Nashville, TN 37244-0100 |
Second Address | Nashville, TN 37207-2519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 25/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120687 | BCBS OF TN (01) | |
3172731 | (05) | TN |
3640064 | UNITED HEALTHCARE (01) | |
4070934 | AETNA (01) | |
64926405 | (05) | KY |
900000788 | RAILROAD MEDICARE (01) | |
B03552 | (02) |