Kenan Qin
MD | Pediatrics | Male
Kenan Qin, MD is a Dyer, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kenan Qin is
1160 Joliet St, Suite 103, Dyer, Indiana - 46311-2096. He can be contacted on phone at
219-322-8534 and fax number 219-865-9072.
Kenan Qin is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenan Qin is
1679623615 which was assigned by NPPES on 11 Jan, 2007 and it was last updated on 05 May, 2015.
Kenan Qin license number is
01071421A for Pediatrics (208000000X) in Indiana.
Kenan Qin is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kenan Qin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kenan Qin |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kenan Qin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1160 Joliet St, Suite 103
Dyer, IN, 46311-2096
United States |
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| Phone Number : | 219-322-8534 |
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| Fax Number : | 219-865-9072 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679623615 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jan, 2007 |
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| Last Updated On : | 05 May, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenan Qin are as mentioned. Primary taxonomy code for Kenan Qin, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | 01071421A | IN |
| 208000000X | Pediatrics | Yes | 01071421A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Kenan Qin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036106209 | MEDICAID | IL | |
| 32-0149967 | Other | | GROUP TAX ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1160 Joliet St, Suite 103
Dyer, IN, 46311-2096
United States |
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| Phone Number : | 219-322-8534 |
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| Fax Number : | 219-865-9072 |
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Business Location:
Patients can refer following map for directions to
Kenan Qin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.