Doctor Name: | DR. KYLE EUGENE PLATZ |
NPI Number: | 1932223690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0536797 |
Business Practice Address: | 1133 College Ave Bldg A, Suite 211 Manhattan, KS - 665022770 |
Business Phone Number: | 9136424900 |
Business Fax Number: | 9133810979 |
Mailing Address: | Po Box 47483, WICHITA |
State: | KS |
Postal Code: | 672017483 |
Phone Number: | 9136424900 |
Fax Number: | 9133810979 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0536797 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |