FACIAL PLASTIC SURGERY EARS NOSE AND THROAT CLINIC
Plastic Surgery within the Head & Neck

NPI Profile for FACIAL PLASTIC SURGERY EARS NOSE AND THROAT CLINIC in KOKOMO, IN.

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

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Contact Information

FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC

2220 W ALTO RD
KOKOMO, IN 46902-4840

Phone: 765-455-2577
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Plastic Surgery within the Head & Neck	207YX0007X	04	Physician/Otolaryngology
Facial Plastic Surgery	207YS0123X	04	Physician/Otolaryngology
Otolaryngology/Facial Plastic Surgery	207YX0905X	04	Physician/Otolaryngology
Plastic Surgery Within the Head and Neck	2082S0099X	02	Physician/General Surgery

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NPI Profile & details for FACIAL PLASTIC SURGERY EARS NOSE AND THROAT CLINIC · (Female)

NPI Number	`1043404296`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/30/2007
Last updated	08/30/2007 - About 19 years ago
Sole proprietor ¹	Not specified
Identifiers	IN Other 000000087718 BLUE CROSS
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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