Kenneth Carl James Fitzgerald in Shreveport - Internal Medicine
Kenneth Carl James Fitzgerald - NPI 1811985245
Kenneth Carl James Fitzgerald is a Internal Medicine in Shreveport, Louisiana. Kenneth Carl James Fitzgerald practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth Carl James Fitzgerald is 1811985245. The last update date is 2011-03-30.
Kenneth Carl James Fitzgerald's current location address is 8001 Youree Dr, Shreveport, Louisiana. You can contact this provider via phone number 3187989881 and fax number 3187989979. The mailing address for Kenneth Carl James Fitzgerald is 8001 Youree Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Carl James Fitzgerald |
|---|---|
| Address | 8001 Youree Dr, Shreveport, Louisiana |
| Phone Number | 3187989881 |
| Fax Number | 3187989979 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811985245 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2011-03-30 |
Provider Mailing Address Detail
| Address | 8001 Youree Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711152302 |
| Phone Number | 3187989881 |
| Fax Number | 3187989979 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 24187 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1105546 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Carl James Fitzgerald by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Carl James Fitzgerald has been assigned the NPI (National Provider Identifier) 1811985245. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kenneth Carl James Fitzgerald's facilities are geographically located?
The facilities of Kenneth Carl James Fitzgerald are physically situated at the following location: 8001 Youree Dr, Shreveport, LA, 711152302.
What is Kenneth Carl James Fitzgerald's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Carl James Fitzgerald is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date was the 1811985245 assigned to Kenneth Carl James Fitzgerald?
The Kenneth Carl James Fitzgerald was issued its 1811985245 on 2005-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Carl James Fitzgerald most recently updated?
The details pertaining to the Kenneth Carl James Fitzgerald, including its address, specialty, and other relevant information, were last refreshed on 2011-03-30.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA