Betzing, Kenneth

Betzing, Kenneth is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Betzing, Kenneth can be contacted via phone (318) 798-4573.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Shreveport LA 71105-5634
Phone: (318) 798-4573
Fax: (318) 798-4651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.A10262.RX Louisiana

Profile Details

NPI number 1053304048
LBN Legal business name Betzing, Kenneth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated May 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053304048 NPPES
Louisiana Other 1053315846 GROUP NPI NUMBER
Louisiana Other P00997008 GROUP NPI NUMBER
Louisiana MEDICAID 1622443 GROUP NPI NUMBER

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