MEDICARE: RODNEY G HANDSFIELD 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
1	208800000X	Urology Physician	0430440	KS

General Provider Information

NPI Number	:	1184736118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY G HANDSFIELD M.D.

Provider Business Mailing Address
First Line	:	1130 S CLIFTON AVE
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-2913
Country	:	US
Telephone Number	:	316-260-4000
Fax Number	:	316-260-1500

Provider Business Practice Location Address
First Line	:	1130 S CLIFTON AVE
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-2913
Country	:	US
Telephone Number	:	316-260-4000
Fax Number	:	316-260-1500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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