Kenneth Lane Gary in Sulphur - Family

Kenneth Lane Gary - NPI 1992849244

Kenneth Lane Gary is a Family in Sulphur, Louisiana. Kenneth Lane Gary practices all healthcare services and medical treatments related to Family. The NPI Number for Kenneth Lane Gary is 1992849244. The last update date is 2015-03-09.

Kenneth Lane Gary's current location address is 701 Cypress St, Sulphur, Louisiana. You can contact this provider via phone number 3375274270 and fax number 3375274288. The mailing address for Kenneth Lane Gary is 701 Cypress St, Sulphur, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Lane Gary
Address 701 Cypress St, Sulphur, Louisiana
Phone Number 3375274270
Fax Number 3375274288
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1992849244
Provider Enumeration Date 2007-02-19
Last Updated Date 2015-03-09

Provider Mailing Address Detail

Address 701 Cypress St
City Sulphur
State Louisiana (LA)
Post Code 706635053
Phone Number 3375274270
Fax Number 3375274288

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No RN094922-AP0
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1019631 LA --

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FAQs about Kenneth Lane Gary

What is the Kenneth Lane Gary's 1992849244?

The Kenneth Lane Gary's NPI (National Provider Identifier) Number is 1992849244. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kenneth Lane Gary is physically located?

The Kenneth Lane Gary is physically situated at the following address: 701 Cypress St, Sulphur, LA, 706635053.

What is Kenneth Lane Gary's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Lane Gary is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date was the 1992849244 assigned to Kenneth Lane Gary?

The Kenneth Lane Gary was issued its 1992849244 on 2007-02-19, 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 Lane Gary most recently updated or refreshed?

The details pertaining to the Kenneth Lane Gary, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-09.

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