Doctor Name: | DR. RONALD WAYNE HINES |
NPI Number: | 1023011616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 113 |
Business Practice Address: | 4513 W 124th Ln Leawood, KS - 662092603 |
Business Phone Number: | 4056591842 |
Business Fax Number: | 9132619255 |
Mailing Address: | 4513 W 124th Ln, LEAWOOD |
State: | KS |
Postal Code: | 662092603 |
Phone Number: | 4056591842 |
Fax Number: | 9132619255 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 113 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |