Shannon Kyle Kaneaster in Oklahoma City - Otolaryngology
Shannon Kyle Kaneaster - NPI 1275672529
Shannon Kyle Kaneaster is a Otolaryngology in Oklahoma City, Oklahoma. Shannon Kyle Kaneaster practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Shannon Kyle Kaneaster is 1275672529. The last update date is 2016-06-01.
Shannon Kyle Kaneaster's current location address is 3033 Nw 63rd St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057556651 and fax number 4056073559. The mailing address for Shannon Kyle Kaneaster is 3033 Nw 63rd St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Kyle Kaneaster |
|---|---|
| Address | 3033 Nw 63rd St, Oklahoma City, Oklahoma |
| Phone Number | 4057556651 |
| Fax Number | 4056073559 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275672529 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2016-06-01 |
Provider Mailing Address Detail
| Address | 3033 Nw 63rd St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731163634 |
| Phone Number | 4057556651 |
| Fax Number | 4056073559 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 22929 |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200172670A | OK | -- |
Post Comment/ Review Below
What is the Shannon Kyle Kaneaster's unique identification number?
The Shannon Kyle Kaneaster has been assigned the NPI (National Provider Identifier) Number 1275672529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shannon Kyle Kaneaster?
The Shannon Kyle Kaneaster is situated at 3033 Nw 63Rd St, in the city of Oklahoma City, state of OK, with the zip code 731163634.
What is Shannon Kyle Kaneaster's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Kyle Kaneaster's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275672529 to Shannon Kyle Kaneaster?
The Centers for Medicare & Medicaid Services originally issued the 1275672529 to Shannon Kyle Kaneaster on 2007-02-05.
When was the information related to Shannon Kyle Kaneaster most recently updated or refreshed?
The details pertaining to the Shannon Kyle Kaneaster, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-01.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC