Provider Demographics
NPI:1053632315
Name:ATKINS, DAVID LYND (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LYND
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W PROUT ST
Mailing Address - Street 2:
Mailing Address - City:HILL CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67642-1435
Mailing Address - Country:US
Mailing Address - Phone:785-421-2121
Mailing Address - Fax:785-421-2034
Practice Address - Street 1:114 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:KS
Practice Address - Zip Code:67642-1722
Practice Address - Country:US
Practice Address - Phone:785-421-2191
Practice Address - Fax:785-421-2195
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-07440207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine