Individual
DR. KENNETH E TETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 SW 6TH AVE, SUITE 200, TOPEKA, KS 66615
(785) 233-7491
(785) 233-3187
Mailing address
6001 SW 6TH AVE, SUITE 200, TOPEKA, KS 66615
(785) 233-7491
(785) 233-3187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0425060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087330B
—
KS
01
—
200032749
RR MEDICARE
—
Enumeration date
12/08/2005
Last updated
11/07/2013
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