Talcott, Kenneth Wlson
Talcott, Kenneth Wlson is an individual health care provider with primary practice located at 2301 Beaver Ave , Des Moines IA 50310-3903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Talcott, Kenneth Wlson can be contacted via phone (515) 255-3181.Contact Information
Primary practice address
2301 Beaver Ave
Des Moines IA 50310-3903
Phone: (515) 255-3181
Fax: (515) 255-9392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18970 | Iowa |
Profile Details
| NPI number | 1093786345 |
|---|---|
| LBN Legal business name | Talcott, Kenneth Wlson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1093786345 | NPPES |
| Iowa | Other | 47498 | BCBS OF IOWA |
| Iowa | Other | 09779 | BCBS OF IOWA |
| Iowa | MEDICAID | 0097790 | BCBS OF IOWA |
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