Kent Douglas Andre in Vermillion - Psychiatry

Kent Douglas Andre - NPI 1245425974

Kent Douglas Andre is a Psychiatry in Vermillion, South Dakota. Kent Douglas Andre practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kent Douglas Andre is 1245425974. The last update date is 2010-07-27.

Kent Douglas Andre's current location address is 516 W Dartmouth St, Vermillion, South Dakota. You can contact this provider via phone number 6056246489. The mailing address for Kent Douglas Andre is 516 W Dartmouth St, Vermillion, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kent Douglas Andre
Address 516 W Dartmouth St, Vermillion, South Dakota
Phone Number 6056246489
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1245425974
Provider Enumeration Date 2007-09-06
Last Updated Date 2010-07-27

Provider Mailing Address Detail

Address 516 W Dartmouth St
City Vermillion
State South Dakota (SD)
Post Code 570691924
Phone Number 6056246489
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 7583
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7102790 SD --
P00832291 SD RR MEDICARE

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FAQs about Kent Douglas Andre

What is the unique 10-digit identifier code issued to Kent Douglas Andre by the Centers for Medicare & Medicaid Services?

The Kent Douglas Andre has been assigned the NPI (National Provider Identifier) 1245425974 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kent Douglas Andre's facilities are situated?

The facilities of Kent Douglas Andre are physically located at the following address: 516 W Dartmouth St, Vermillion, SD, 570691924.

What is Kent Douglas Andre's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kent Douglas Andre is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.

On what date was the 1245425974 assigned to Kent Douglas Andre?

The Kent Douglas Andre was issued its 1245425974 on 2007-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kent Douglas Andre last refreshed?

The information related to the Kent Douglas Andre, including its address, specialty, and other relevant details, was last updated on 2010-07-27.

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