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NPI Code Detail

MEDICARE: KEITH H SARGENT MD

MEDICARE: KEITH H SARGENT 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
1207Q00000XFamily Medicine Physician0530660KS

General Provider Information

NPI Number : 1992756241
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH H SARGENT MD
Provider Business Mailing Address
First Line : PO BOX 3727
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-0727
Country : US
Telephone Number : 785-838-1500
Fax Number :
Provider Business Practice Location Address
First Line : 3511 CLINTON PL
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-2196
Country : US
Telephone Number : 785-838-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/08/2007

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