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NPI Code Detail

MEDICARE: DR. KENNETH A. FISCHER M.D.

MEDICARE: DR. KENNETH A. FISCHER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianA83601CA
2207R00000XInternal Medicine PhysicianA83601CA
3208D00000XGeneral Practice PhysicianA83601CA
4208M00000XHospitalist Physician12247NV
5208M00000XHospitalist Physician11089170-1205UT

General Provider Information

NPI Number : 1073553244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH A. FISCHER M.D.
Provider Business Mailing Address
First Line : PO BOX 3299
Second Line :
City : CARSON CITY
State : NV
Zip : 89702-3299
Country : US
Telephone Number : 775-222-0042
Fax Number : 775-431-1013
Provider Business Practice Location Address
First Line : 5505 S 900 E STE 240
Second Line :
City : MURRAY
State : UT
Zip : 84117-7210
Country : US
Telephone Number : 801-783-5011
Fax Number : 801-746-3734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/06/2019

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