Kelly Liner Duke is a Medical in Gonzales, Louisiana. Kelly Liner Duke practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly Liner Duke is 1376522425. The last update date is 2023-03-07.
Kelly Liner Duke's current location address is 2647 S Saint Elizabeth Blvd Ste 125, Gonzales, Louisiana. You can contact this provider via phone number 2256479675 and fax number 2257662226. The mailing address for Kelly Liner Duke is 2647 S Saint Elizabeth Blvd Ste 125, Gonzales, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Liner Duke |
|---|---|
| Address | 2647 S Saint Elizabeth Blvd Ste 125, Gonzales, Louisiana |
| Phone Number | 2256479675 |
| Fax Number | 2257662226 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1376522425 |
|---|---|
| Provider Enumeration Date | 2006-01-16 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2647 S Saint Elizabeth Blvd Ste 125 |
|---|---|
| City | Gonzales |
| State | Louisiana (LA) |
| Post Code | 707375020 |
| Phone Number | 2256479675 |
| Fax Number | 2257662226 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 200058 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1581666 | LA | -- | |
| 200058 | LA | STATE LICENSE | |
| 55655 | LA | CDS | |
| TPA132 | LA | STATE MEDICAL LIC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Liner Duke by the Centers for Medicare & Medicaid Services?
The Kelly Liner Duke has been assigned the NPI (National Provider Identifier) 1376522425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kelly Liner Duke?
The Kelly Liner Duke is physically situated at 2647 S Saint Elizabeth Blvd Ste 125, in the city of Gonzales, state of LA, with the postal code 707375020.
What is Kelly Liner Duke's area of expertise and its corresponding taxonomy classification?
The Kelly Liner Duke's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Kelly Liner Duke receive its 1376522425 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Liner Duke was assigned its 1376522425 on 2006-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kelly Liner Duke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Liner Duke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.
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