Individual
KENNETH SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 223-5400
Mailing address
1943 ROLLING HILLS CIR, SALINA, KS 67401-3738
(785) 493-1822
(785) 404-2640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-24905
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100151350B
—
KS
01
—
101444
BLUE CROSS BLUE SHIELD
KS
01
—
627671
FIRST GUARD
KS
01
—
930112894
RAILROAD MEDICARE
KS
Enumeration date
07/27/2006
Last updated
08/09/2010
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