DR. CLARENCE BONOAN AMAYUN M.D. - NPI 1184694895

Q: What is Clarence Amayun's NPI number?

The NPI number for Clarence Amayun is 1184694895. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Clarence Amayun's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Amayun was last updated on May 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Clarence Bonoan Amayun M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLARENCE BONOAN AMAYUN M.D. (NPI 1184694895) is an individual specialist in Kokomo, Indiana, licensed in Indiana (01041643A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1184694895

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. CLARENCE BONOAN AMAYUNCredential: M.D.

Location Address3611 S REED RD, SUITE 106Kokomo, IN 46902-3828

Mailing Address4070 E 100 N, Suite106Kokomo, IN 46901-8319 · (765) 453-8585 · Fax (765) 453-8002

Phone(765) 453-8001

Fax(765) 453-8002

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateMay 4, 2009

✔ NPI 1184694895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IN · 01041643A

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3611 S REED RD, Kokomo, IN 46902

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