Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 04-27789 | KS |
Y | 2080P0210X | Pediatric Nephrologist | 04-27789 | KS |
NPI | 1134193295 |
---|---|
Provider Name | Michelle R Stuart Hilgenfeld |
First Address | Wichita, KS 67208-3052 |
Second Address | Wichita, KS 67208-3052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 03/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I16926 | (02) | KS |