Everett Kirk Luder in Roanoke - Psychiatry
Everett Kirk Luder - NPI 1629046701
Everett Kirk Luder is a Psychiatry in Roanoke, Virginia. Everett Kirk Luder practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Everett Kirk Luder is 1629046701. The last update date is 2023-07-14.
Everett Kirk Luder's current location address is 2017 Jefferson St Sw, Roanoke, Virginia. You can contact this provider via phone number 5409818025 and fax number 5408530511. The mailing address for Everett Kirk Luder is 2017 Jefferson St Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Everett Kirk Luder |
|---|---|
| Address | 2017 Jefferson St Sw, Roanoke, Virginia |
| Phone Number | 5409818025 |
| Fax Number | 5408530511 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629046701 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2023-07-14 |
Provider Mailing Address Detail
| Address | 2017 Jefferson St Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240142419 |
| Phone Number | 5409818025 |
| Fax Number | 5408530511 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 101222348 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10106834 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Everett Kirk Luder by the Centers for Medicare & Medicaid Services?
The Everett Kirk Luder has been issued the NPI (National Provider Identifier) 1629046701 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Everett Kirk Luder?
The Everett Kirk Luder is physically situated at 2017 Jefferson St Sw, in the city of Roanoke, state of VA, with the postal code 240142419.
What is Everett Kirk Luder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Everett Kirk Luder is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Everett Kirk Luder receive its 1629046701 assignment from the Centers for Medicare & Medicaid Services?
The Everett Kirk Luder was assigned its 1629046701 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date was the information pertaining to Everett Kirk Luder, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Everett Kirk Luder, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-07-14.
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