Organization Name: | SURGICAL HANDS OF KANSAS |
NPI Number: | 1023374147 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYRONE M TAYLOR (OWNER) |
Mailing Address: | 14201 W 82nd St #2 Lenexa |
State: | KS US |
Postal Code: | 662154125 |
Phone Number: | 8165227899 |
Fax Number: | 9133020669 |
NPI Enumeration Date: | 04/03/2012 |
NPI Last Update Date: | 04/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |