Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 68775-20 | WI |
Y | 208000000X | Pediatrician | 04-43479 | KS |
N | 208000000X | Pediatrician | 68775-20 | WI |
NPI | 1477916617 |
---|---|
Provider Name | Sarah Zuk |
First Address | Kansas City, KS 66160-0001 |
Second Address | Kansas City, KS 66160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 26/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1477916617 | (05) | WI |