Christrup, Kenneth W.

Christrup, Kenneth W. is an sole proprietor health care provider with primary practice located at 1211 Collidge St. Ste 403 , Lafayette LA 70503-2638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Christrup, Kenneth W. can be contacted via phone (337) 984-1155.

Contact Information

Primary practice address
1211 Collidge St. Ste 403 Lafayette LA 70503-2638
Phone: (337) 984-1155
Fax: (337) 988-2070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5395R Louisiana

Profile Details

NPI number 1871588590
LBN Legal business name Christrup, Kenneth W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Jul 21st, 2022 - about 4 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 1871588590 NPPES
Louisiana MEDICAID 1320668

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