Kenneth A Blais in Shreveport - Student In An Organized Health Care Education/training Program
Kenneth A Blais - NPI 1871704189
Kenneth A Blais is a Student In An Organized Health Care Education/training Program in Shreveport, Louisiana. Kenneth A Blais practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Kenneth A Blais is 1871704189. The last update date is 2008-05-28.
Kenneth A Blais's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3186757737 and fax number 3186755666. The mailing address for Kenneth A Blais is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Blais |
|---|---|
| Address | 1501 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3186757737 |
| Fax Number | 3186755666 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871704189 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 1501 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034228 |
| Phone Number | 3186757737 |
| Fax Number | 3186755666 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50988 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth A Blais?
The Kenneth A Blais has been issued the NPI (National Provider Identifier) 1871704189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth A Blais?
The Kenneth A Blais is situated at 1501 Kings Hwy, in the city of Shreveport, state of LA, with the zip code 711034228.
What is the Kenneth A Blais's specialty and taxonomy code?
The Kenneth A Blais's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.
On what date did Kenneth A Blais receive its 1871704189 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth A Blais was assigned its 1871704189 on 2007-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kenneth A Blais most recently updated or refreshed?
The details pertaining to the Kenneth A Blais, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-28.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC