Individual
DR. SCOTT T THELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1112 W 6TH ST, SUITE 210, LAWRENCE, KS 66044-2215
(785) 843-7677
(785) 843-1657
Mailing address
1112 W 6TH ST, SUITE 210, LAWRENCE, KS 66044-2215
(785) 843-7677
(785) 843-1657
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
04-25277
KS
208200000X
Plastic Surgery Physician
Primary
5102
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047072
BCBS
KS
01
—
1320006
UNITED HEALTHCARE
KS
01
—
21324011
BCBS OF KANSAS CITY
KS
01
—
4584426
AETNA
KS
Enumeration date
08/23/2005
Last updated
07/08/2007
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