Carlson, Kristopher Richard

Carlson, Kristopher Richard is an individual health care provider with primary practice located at 823 Sw Mulvane St , Topeka KS 66606-1764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Carlson, Kristopher Richard can be contacted via phone (785) 354-9591.

Contact Information

Primary practice address
823 Sw Mulvane St Topeka KS 66606-1764
Phone: (785) 354-9591
Fax: (785) 270-4364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 53866 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 04-36441 Kansas

Profile Details

NPI number 1467676106
LBN Legal business name Carlson, Kristopher Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 19th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467676106 NPPES
Kansas Other 068002217 MEDICARE
Kansas MEDICAID 201073240A MEDICARE

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