Kenneth Betzing in Shreveport - Physician Assistant
Kenneth Betzing - NPI 1053304048
Kenneth Betzing is a Physician Assistant in Shreveport, Louisiana. Kenneth Betzing practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth Betzing is 1053304048. The last update date is 2013-05-08.
Kenneth Betzing's current location address is 1455 E Bert Kouns Loop, Shreveport, Louisiana. You can contact this provider via phone number 3187984573 and fax number 3187984651. The mailing address for Kenneth Betzing is 1455 E Bert Kouns Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Betzing |
|---|---|
| Address | 1455 E Bert Kouns Loop, Shreveport, Louisiana |
| Phone Number | 3187984573 |
| Fax Number | 3187984651 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053304048 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2013-05-08 |
Provider Mailing Address Detail
| Address | 1455 E Bert Kouns Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055634 |
| Phone Number | 3187984573 |
| Fax Number | 3187984651 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA.A10262.RX |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053315846 | LA | GROUP NPI NUMBER | |
| P00997008 | LA | RAILROAD MEDICARE | |
| 1622443 | LA | -- |
Post Comment/ Review Below
What is the Kenneth Betzing's unique identification number?
The Kenneth Betzing has been assigned the NPI (National Provider Identifier) Number 1053304048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kenneth Betzing is physically located?
The Kenneth Betzing is situated at the following address: 1455 E Bert Kouns Loop, Shreveport, LA 711055634.
What is Kenneth Betzing's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Betzing is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1053304048 assigned to Kenneth Betzing?
The Kenneth Betzing was issued its 1053304048 on 2005-08-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kenneth Betzing most recently updated or refreshed?
The details pertaining to the Kenneth Betzing, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-08.