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
Phone: (620) 624-3811
Fax: (620) 624-3186
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942252077 | NPPES |
Kansas | Other | 001434 | BCBS KS |
Kansas | MEDICAID | 100158840A | BCBS KS |
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