Kenneth Edwin Booth in Shreveport - Internal Medicine
Kenneth Edwin Booth - NPI 1831109552
Kenneth Edwin Booth is a Internal Medicine in Shreveport, Louisiana. Kenneth Edwin Booth practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth Edwin Booth is 1831109552. The last update date is 2007-07-08.
Kenneth Edwin Booth's current location address is 10006 Winding Ridge Dr, Shreveport, Louisiana. You can contact this provider via phone number 3187981254. The mailing address for Kenneth Edwin Booth is 10006 Winding Ridge Dr, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Edwin Booth |
|---|---|
| Address | 10006 Winding Ridge Dr, Shreveport, Louisiana |
| Phone Number | 3187981254 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831109552 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10006 Winding Ridge Dr |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711067684 |
| Phone Number | 3187981254 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD.015537 |
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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 |
|---|---|---|---|
| 1332968 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth Edwin Booth by the Centers for Medicare & Medicaid Services?
The Kenneth Edwin Booth has been assigned the NPI (National Provider Identifier) 1831109552 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kenneth Edwin Booth's physical address?
The Kenneth Edwin Booth is physically located at 10006 Winding Ridge Dr, in the city of Shreveport, LA, with the postal code 711067684.
What is Kenneth Edwin Booth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Edwin Booth is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did Kenneth Edwin Booth receive its 1831109552 assignment?
The Kenneth Edwin Booth was assigned its 1831109552 on 2006-08-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth Edwin Booth, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Edwin Booth, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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