Healthcare Provider Details

I. General information

NPI: 1114905684
Provider Name (Legal Business Name): KURT R KNAPPENBERGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 SW 6TH AVE SUITE 200
TOPEKA KS
66615-1011
US

IV. Provider business mailing address

6001 SW 6TH AVE SUITE 200
TOPEKA KS
66615-1011
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-7491
  • Fax: 785-233-3187
Mailing address:
  • Phone: 785-233-7491
  • Fax: 785-233-3187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0419230
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: