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NPI Code Detail

MEDICARE: KENNA FISCHMAN MD

MEDICARE: KENNA FISCHMAN MD
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
1207R00000XInternal Medicine PhysicianR10588IA
2207R00000XInternal Medicine Physician04-41860KS

General Provider Information

NPI Number : 1578914966
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNA FISCHMAN MD
Provider Business Mailing Address
First Line : 1325 RESEARCH PARK DR
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-5000
Country : US
Telephone Number : 785-537-2651
Fax Number : 785-270-4347
Provider Business Practice Location Address
First Line : 1325 RESEARCH PARK DR
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-5000
Country : US
Telephone Number : 785-537-2651
Fax Number : 785-270-4347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2016
Last Update Date : 06/03/2026

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