Organization
NATHAN W. UY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN W UY M.D. (OWNER)
(620) 252-1684
Entity
Organization
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 252-1684
(620) 252-1692
Mailing address
1400 W 4TH ST, PO BOX 993, COFFEYVILLE, KS 67337-3306
(620) 252-1684
(620) 252-1692
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
04-31073
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14737148954
INDIVIDUAL NPI
OK
05
—
20004400A
—
OK
05
—
APPLIED FOR
—
KS
Enumeration date
10/18/2011
Last updated
10/18/2011
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