Ponnuru, Kimberly Dawn
Ponnuru, Kimberly Dawn is an individual health care provider with primary practice located at 7450 Kessler St Ste 201, Merriam KS 66204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ponnuru, Kimberly Dawn can be contacted via phone (913) 632-9200.Contact Information
Primary practice address
7450 Kessler St Ste 201
Merriam KS 66204
Phone: (913) 632-9200
Fax: (913) 632-9209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0429857 | Kansas |
Profile Details
| NPI number | 1689766230 |
|---|---|
| LBN Legal business name | Ponnuru, Kimberly Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Nov 5th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689766230 | NPPES |
| Kansas | Other | 0429857 | KS STATE BOARD OF HEALING |
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