Kenneth D Pearsen in Williamsville - Diagnostic Radiology

Kenneth D Pearsen - NPI 1154387918

Kenneth D Pearsen is a Diagnostic Radiology in Williamsville, New York. Kenneth D Pearsen practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kenneth D Pearsen is 1154387918. The last update date is 2023-08-21.

Kenneth D Pearsen's current location address is 111 N Maplemere Rd Ste 120, Williamsville, New York. You can contact this provider via phone number 7168364646 and fax number 7168364696. The mailing address for Kenneth D Pearsen is 111 N Maplemere Rd Ste 120, Williamsville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth D Pearsen
Address 111 N Maplemere Rd Ste 120, Williamsville, New York
Phone Number 7168364646
Fax Number 7168364696
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154387918
Provider Enumeration Date 2006-04-21
Last Updated Date 2023-08-21

Provider Mailing Address Detail

Address 111 N Maplemere Rd Ste 120
City Williamsville
State New York (NY)
Post Code 142213178
Phone Number 7168364646
Fax Number 7168364696

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 181834
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25335602 UNIVERA
P010181834 BLUE CHOICE
1230148 NY --
101326FF PREFERRED CARE
142865 GHI
P020181834 BLUE SHIELD ROCHESTER
911558011 BLUE SHIELD WNY
P00005729 RR MEDICARE
25335605 UNIVERA
4026003061 FIDELIS

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FAQs about Kenneth D Pearsen

What is the Kenneth D Pearsen's 1154387918?

The Kenneth D Pearsen's NPI (National Provider Identifier) Number is 1154387918. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kenneth D Pearsen's facilities are situated?

The facilities of Kenneth D Pearsen are physically located at the following address: 111 N Maplemere Rd Ste 120, Williamsville, NY, 142213178.

What is the Kenneth D Pearsen's specialty and taxonomy code?

The Kenneth D Pearsen's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154387918 to Kenneth D Pearsen?

The Kenneth D Pearsen received its 1154387918 assignment from the Centers for Medicare & Medicaid Services on 2006-04-21.

As of what date was the information regarding Kenneth D Pearsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth D Pearsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-21.

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