Kimberly Dawn Ponnuru in Merriam - Surgery
Kimberly Dawn Ponnuru - NPI 1689766230
Kimberly Dawn Ponnuru is a Surgery in Merriam, Kansas. Kimberly Dawn Ponnuru practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kimberly Dawn Ponnuru is 1689766230. The last update date is 2019-11-05.
Kimberly Dawn Ponnuru's current location address is 7450 Kessler St, Merriam, Kansas. You can contact this provider via phone number 9136329200 and fax number 9136329209. The mailing address for Kimberly Dawn Ponnuru is 7450 Kessler St, Merriam, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Dawn Ponnuru |
|---|---|
| Address | 7450 Kessler St, Merriam, Kansas |
| Phone Number | 9136329200 |
| Fax Number | 9136329209 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689766230 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2019-11-05 |
Provider Mailing Address Detail
| Address | 7450 Kessler St |
|---|---|
| City | Merriam |
| State | Kansas (KS) |
| Post Code | 66204 |
| Phone Number | 9136329200 |
| Fax Number | 9136329209 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 429857 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 429857 | KS | KS STATE BOARD OF HEALING |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kimberly Dawn Ponnuru by the Centers for Medicare & Medicaid Services?
The Kimberly Dawn Ponnuru has been issued the NPI (National Provider Identifier) 1689766230, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kimberly Dawn Ponnuru's physical address?
The Kimberly Dawn Ponnuru is physically located at 7450 Kessler St, in the city of Merriam, KS, with the postal code 66204.
What is Kimberly Dawn Ponnuru's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kimberly Dawn Ponnuru's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did Kimberly Dawn Ponnuru receive its 1689766230 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Dawn Ponnuru was assigned its 1689766230 on 2006-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kimberly Dawn Ponnuru's details last updated?
The information pertaining to the Kimberly Dawn Ponnuru, including its address, specialty, and other details, was most recently updated on 2019-11-05.