Healthcare Provider Details

I. General information

NPI: 1730383019
Provider Name (Legal Business Name): SOLOMON SAMUEL KUAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 CANTERBURY DR
HAYS KS
67601-2370
US

IV. Provider business mailing address

220 RENNIE AVE
VENICE CA
90291-2646
US

V. Phone/Fax

Practice location:
  • Phone: 785-623-5000
  • Fax:
Mailing address:
  • Phone: 504-202-8057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number245261
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA115819
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number04-35559
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: