Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 04-22494 | KS |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 04-22494 | KS |
NPI | 1144339136 |
---|---|
Provider Name | Stephen W Munns |
First Address | Kansas City, KS 66160-7816 |
Second Address | Kansas City, KS 66160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 22/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100209470A | (05) | KS |
14312050 | BCBS (01) | MO |
200024916 | RAILROAD MEDICARE (01) | |
202596607 | (05) | MO |
626610 | FIRSTGUARD (01) | KS |
B55262 | (02) |