Kenneth A. Urban in Green Bay - Sports Physician
Kenneth A. Urban - NPI 1346336096
Kenneth A. Urban is a Sports Physician in Green Bay, Wisconsin. Kenneth A. Urban practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kenneth A. Urban is 1346336096. The last update date is 2011-11-28.
Kenneth A. Urban's current location address is 1624 E Mason St, Green Bay, Wisconsin. You can contact this provider via phone number 9204650400 and fax number 9204651430. The mailing address for Kenneth A. Urban is 1624 E Mason St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A. Urban |
|---|---|
| Address | 1624 E Mason St, Green Bay, Wisconsin |
| Phone Number | 9204650400 |
| Fax Number | 9204651430 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1346336096 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2011-11-28 |
Provider Mailing Address Detail
| Address | 1624 E Mason St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543022739 |
| Phone Number | 9204650400 |
| Fax Number | 9204651430 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1483 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38757000 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth A. Urban by the Centers for Medicare & Medicaid Services?
The Kenneth A. Urban has been issued the NPI (National Provider Identifier) 1346336096. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kenneth A. Urban is physically located?
The Kenneth A. Urban is situated at the following address: 1624 E Mason St, Green Bay, WI 543022739.
What is Kenneth A. Urban's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth A. Urban's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Kenneth A. Urban receive its 1346336096 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth A. Urban was assigned its 1346336096 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the Kenneth A. Urban's details last updated?
The information pertaining to the Kenneth A. Urban, including its address, specialty, and other details, was most recently updated on 2011-11-28.
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