Susan C Keniston in Madison - Pediatrics

Susan C Keniston - NPI 1790801470

Susan C Keniston is a Pediatrics in Madison, Wisconsin. Susan C Keniston practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan C Keniston is 1790801470. The last update date is 2009-04-27.

Susan C Keniston's current location address is 4122 E Towne Blvd, Madison, Wisconsin. You can contact this provider via phone number 6082426845 and fax number 6082426876. The mailing address for Susan C Keniston is 4122 E Towne Blvd, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan C Keniston
Address 4122 E Towne Blvd, Madison, Wisconsin
Phone Number 6082426845
Fax Number 6082426876
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1790801470
Provider Enumeration Date 2007-03-22
Last Updated Date 2009-04-27

Provider Mailing Address Detail

Address 4122 E Towne Blvd
City Madison
State Wisconsin (WI)
Post Code 537043732
Phone Number 6082426845
Fax Number 6082426876

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 76934
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Susan C Keniston

What is the unique 10-digit identifier code issued to Susan C Keniston by the Centers for Medicare & Medicaid Services?

The Susan C Keniston has been assigned the NPI (National Provider Identifier) 1790801470 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Susan C Keniston is geographically located?

The Susan C Keniston is physically situated at the following location: 4122 E Towne Blvd, Madison, WI, 537043732.

What is Susan C Keniston's area of expertise and its corresponding taxonomy classification?

The Susan C Keniston's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.

When did the Susan C Keniston receive its 1790801470?

The Susan C Keniston was issued its 1790801470 on 2007-03-22, which is the date when the organization was assigned this unique identifier.

As of what date were the Susan C Keniston's details last updated?

The information pertaining to the Susan C Keniston, including its address, specialty, and other details, was most recently updated on 2009-04-27.

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