Kenneth Tuan is a Sports Medicine in Decatur, Illinois. Kenneth Tuan practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kenneth Tuan is 1477520955. The last update date is 2010-09-03.
Kenneth Tuan's current location address is 304 W Hay St, Decatur, Illinois. You can contact this provider via phone number 2178772088 and fax number 2178773622. The mailing address for Kenneth Tuan is 304 W Hay St, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Tuan |
|---|---|
| Address | 304 W Hay St, Decatur, Illinois |
| Phone Number | 2178772088 |
| Fax Number | 2178773622 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477520955 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2010-09-03 |
Provider Mailing Address Detail
| Address | 304 W Hay St |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625266328 |
| Phone Number | 2178772088 |
| Fax Number | 2178773622 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 36109943 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36109943 | IL | -- |
Post Comment/ Review Below
What is the Kenneth Tuan's unique identification number?
The Kenneth Tuan has been assigned the NPI (National Provider Identifier) Number 1477520955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kenneth Tuan's facilities are geographically located?
The facilities of Kenneth Tuan are physically situated at the following location: 304 W Hay St, Decatur, IL, 625266328.
What is Kenneth Tuan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Tuan's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date did the Kenneth Tuan receive its 1477520955 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Tuan was assigned its 1477520955 by the Centers for Medicare & Medicaid Services on 2006-03-03.
As of what date was the information pertaining to Kenneth Tuan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth Tuan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-03.