Kenneth K Maslonka in Minneapolis - Pediatric Critical Care Medicine
Kenneth K Maslonka - NPI 1639170418
Kenneth K Maslonka is a Pediatric Critical Care Medicine in Minneapolis, Minnesota. Kenneth K Maslonka practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Kenneth K Maslonka is 1639170418. The last update date is 2016-01-25.
Kenneth K Maslonka's current location address is 2530 Chicago Ave Ste 400, Minneapolis, Minnesota. You can contact this provider via phone number 6128133300 and fax number 6128133349. The mailing address for Kenneth K Maslonka is 2530 Chicago Ave Ste 400, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth K Maslonka |
|---|---|
| Address | 2530 Chicago Ave Ste 400, Minneapolis, Minnesota |
| Phone Number | 6128133300 |
| Fax Number | 6128133349 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639170418 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2016-01-25 |
Provider Mailing Address Detail
| Address | 2530 Chicago Ave Ste 400 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554044387 |
| Phone Number | 6128133300 |
| Fax Number | 6128133349 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 36031 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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What is the unique provider identifier assigned to Kenneth K Maslonka?
The Kenneth K Maslonka has been issued the NPI (National Provider Identifier) 1639170418 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kenneth K Maslonka's physical address?
The Kenneth K Maslonka is physically located at 2530 Chicago Ave Ste 400, in the city of Minneapolis, MN, with the postal code 554044387.
What is Kenneth K Maslonka's area of expertise and its corresponding taxonomy classification?
The Kenneth K Maslonka's field of specialization is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1639170418 to Kenneth K Maslonka?
The Centers for Medicare & Medicaid Services assigned the 1639170418 to Kenneth K Maslonka on 2005-08-03.
As of what date were the Kenneth K Maslonka's details last updated?
The information pertaining to the Kenneth K Maslonka, including its address, specialty, and other details, was most recently updated on 2016-01-25.