Knudsen, Dennis

Knudsen, Dennis is an sole proprietor health care provider with primary practice located at 222 W 15Th St , Liberal KS 67901-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Knudsen, Dennis can be contacted via phone (620) 624-3811.

Contact Information

Primary practice address
222 W 15Th St Liberal KS 67901-2448
Fax: (620) 624-3186
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0418880 Kansas

Profile Details

NPI number 1942252077
LBN Legal business name Knudsen, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Mar 2nd, 2010 - about 15 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 1942252077 NPPES
Kansas Other 001434 BCBS KS
Kansas MEDICAID 100158840A BCBS KS

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