Unknown Individual – Diagnostic Radiology Physician, NPI 1477650703

Unknown Individual is a healthcare provider. based in Kingman, Kansas. specializing in Diagnostic Radiology Physician. They hold a License No. 04-17598 (KS). The NPI Number for Unknown Individual is 1477650703

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477650703
Phone
(620) 532-3147
Address
750 W D AVE
Deactivation Date
8 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 750, D Avenue, Kingman, Kingman County, Kansas, 67068, United States

    KINGMAN, KS 67068

    Phone: (620) 532-3147

    Type: Location

  • 4304, Sequoia Street, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 675024630

    Phone: (620) 662-4093

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67068)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYKS71010X-ray of chest, 1 view, front12982
DIAGNOSTIC RADIOLOGYKS73630X-ray of foot, minimum of 3 views3835
DIAGNOSTIC RADIOLOGYKS74177CT scan of abdomen and pelvis with contrast2121

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1477650703 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Kingman, Kansas for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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