Provider Demographics
NPI:1578553137
Name:THOMEN, ROBERT K II (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:K
Last Name:THOMEN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:505 S PLUMMER AVE
Mailing Address - Street 2:PO BOX 946
Mailing Address - City:CHANUTE
Mailing Address - State:KS
Mailing Address - Zip Code:66720-0946
Mailing Address - Country:US
Mailing Address - Phone:620-431-2500
Mailing Address - Fax:620-431-4418
Practice Address - Street 1:505 S PLUMMER AVE
Practice Address - Street 2:
Practice Address - City:CHANUTE
Practice Address - State:KS
Practice Address - Zip Code:66720-1950
Practice Address - Country:US
Practice Address - Phone:620-431-2500
Practice Address - Fax:620-431-4418
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-21632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS080047397OtherRAILROAD MEDICARE
KS100205990AMedicaid
KS080047397OtherRAILROAD MEDICARE
KS100205990AMedicaid