Stanley R Kordisch M D Amc in Lake Charles - Specialist

Stanley R Kordisch M D Amc - NPI 1164686689

Stanley R Kordisch M D Amc is a Specialist in Lake Charles, Louisiana. Stanley R Kordisch M D Amc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stanley R Kordisch M D Amc is 1164686689. The last update date is 2008-07-14.

Stanley R Kordisch M D Amc's current location address is 4150 Nelson Rd Ste C10, Lake Charles, Louisiana. You can contact this provider via phone number 3374740653 and fax number 3374740639. The mailing address for Stanley R Kordisch M D Amc is 4150 Nelson Rd Ste C10, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stanley R Kordisch M D Amc
Address 4150 Nelson Rd Ste C10, Lake Charles, Louisiana
Phone Number 3374740653
Fax Number 3374740639
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Culpepper Helen
Telephone Number 3374740653

NPI Number Detail

NPI Number 1164686689
Provider Enumeration Date 2008-07-14
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 4150 Nelson Rd Ste C10
City Lake Charles
State Louisiana (LA)
Post Code 706054169
Phone Number 3374740653
Fax Number 3374740639

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 3813
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.

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FAQs about Stanley R Kordisch M D Amc

What is the unique 10-digit identification code assigned to Stanley R Kordisch M D Amc by the Centers for Medicare & Medicaid Services?

The Stanley R Kordisch M D Amc has been issued the NPI (National Provider Identifier) 1164686689, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Stanley R Kordisch M D Amc is located?

The Stanley R Kordisch M D Amc is situated at the following address: 4150 Nelson Rd Ste C10, Lake Charles, LA, 706054169.

What is Stanley R Kordisch M D Amc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stanley R Kordisch M D Amc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did Stanley R Kordisch M D Amc receive its 1164686689 assignment from the Centers for Medicare & Medicaid Services?

The Stanley R Kordisch M D Amc was assigned its 1164686689 on 2008-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Stanley R Kordisch M D Amc most recently updated or revised?

The details related to Stanley R Kordisch M D Amc, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-14.

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