Individual
DR. RONALD WAYNE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4513 W 124TH LN, LEAWOOD, KS 66209-2603
(405) 659-1842
(913) 261-9255
Mailing address
4513 W 124TH LN, LEAWOOD, KS 66209-2603
(405) 659-1842
(913) 261-9255
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00387
KS
213E00000X
Podiatrist
2012014963
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
113
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0764240001
DMERC
OK
01
—
1295773398
GROUP NPI
OK
01
—
731130289001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
05/27/2005
Last updated
04/11/2013
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