Shaffer, Kenneth Mark
Shaffer, Kenneth Mark is an individual health care provider with primary practice located at 4314 Medical Pkwy Ste 200, Austin TX 78756-3334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Shaffer, Kenneth Mark can be contacted via phone (512) 454-1110.Contact Information
Primary practice address
4314 Medical Pkwy Ste 200
Austin TX 78756-3334
Phone: (512) 454-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | J2908 | Texas |
Profile Details
| NPI number | 1922062652 |
|---|---|
| LBN Legal business name | Shaffer, Kenneth Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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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