MEDICARE: ABK MONITORING INC., PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	204R00000X	Electrodiagnostic Medicine Physician
2	2084N0400X	Neurology Physician
3	246ZE0600X	Electroneurodiagnostic Specialist/Technologist
4	2084N0600X	Clinical Neurophysiology Physician

General Provider Information

NPI Number	:	1386018943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABK MONITORING INC., PLLC

Provider Business Mailing Address
First Line	:	4347 W NORTHWEST HWY STE 130
Second Line	:	#323
City	:	DALLAS
State	:	TX
Zip	:	75220-3866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4347 W NORTHWEST HWY STE 130
Second Line	:	#323
City	:	DALLAS
State	:	TX
Zip	:	75220-3866
Country	:	US
Telephone Number	:	469-283-0210
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN KAUFMAN
Credential	:	M.D.
Telephone Number	:	469-283-0210

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	11/14/2016

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