O. Keith Enlow in Olathe - Adolescent Medicine

O. Keith Enlow - NPI 1275508723

O. Keith Enlow is a Adolescent Medicine in Olathe, Kansas. O. Keith Enlow practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for O. Keith Enlow is 1275508723. The last update date is 2008-04-30.

O. Keith Enlow's current location address is 824 W Frontier Ln, Olathe, Kansas. You can contact this provider via phone number 9137647060 and fax number 9137648059. The mailing address for O. Keith Enlow is 824 W Frontier Ln, Olathe, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name O. Keith Enlow
Address 824 W Frontier Ln, Olathe, Kansas
Phone Number 9137647060
Fax Number 9137648059
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1275508723
Provider Enumeration Date 2006-02-20
Last Updated Date 2008-04-30

Provider Mailing Address Detail

Address 824 W Frontier Ln
City Olathe
State Kansas (KS)
Post Code 660617216
Phone Number 9137647060
Fax Number 9137648059

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 522106
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100230340A KS --
13360014 MO BLUE SHIELD

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FAQs about O. Keith Enlow

What is the unique 10-digit identifier code assigned to O. Keith Enlow by the Centers for Medicare & Medicaid Services?

The O. Keith Enlow has been issued the NPI (National Provider Identifier) 1275508723 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of O. Keith Enlow?

The O. Keith Enlow is physically situated at 824 W Frontier Ln, in the city of Olathe, state of KS, with the postal code 660617216.

What is the area of specialization for O. Keith Enlow, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for O. Keith Enlow is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.

On what date was the 1275508723 assigned to O. Keith Enlow?

The O. Keith Enlow was issued its 1275508723 on 2006-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to O. Keith Enlow most recently updated or revised?

The information pertaining to O. Keith Enlow, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-30.

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