Individual
DR. KENT EARL PALMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5355
(785) 354-5209
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5355
(785) 354-5209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0416831
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040122
MEDICARE PTAN
KS
Enumeration date
08/23/2005
Last updated
03/11/2015
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