Basic Information
| Provider Information | |||||||||
| NPI: | 1215168166 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SLEEP MEDICINE SOLUTIONS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3100 BRIANNA BLVD APT 1019 | ||||||||
| Address2: | |||||||||
| City: | SEDALIA | ||||||||
| State: | MO | ||||||||
| PostalCode: | 653012496 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6604731639 | ||||||||
| FaxNumber: | 6608296606 | ||||||||
| Practice Location | |||||||||
| Address1: | 3100 BRIANNA BLVD APT 1019 | ||||||||
| Address2: | |||||||||
| City: | SEDALIA | ||||||||
| State: | MO | ||||||||
| PostalCode: | 653012496 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6604731639 | ||||||||
| FaxNumber: | 6608296606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2009 | ||||||||
| LastUpdateDate: | 07/27/2009 | ||||||||
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| AuthorizedOfficialLastName: | KUHLMANN | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6604731639 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084S0012X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Sleep Medicine |
No ID Information.