Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 421292 | KS |
N | 207RS0012X | Sleep Medicine | 0421292 | KS |
NPI | 1275532657 |
---|---|
Provider Name | Ted W Daughety |
First Address | Topeka, KS 66604 |
Second Address | Topeka, KS 66614-5604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 09/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B69126 | (02) | KS |