Fitzgerald, Kenneth Carl James

Fitzgerald, Kenneth Carl James is an sole proprietor health care provider with primary practice located at 2551 Greenwood Rd Ste 410 , Shreveport LA 71103-3989. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fitzgerald, Kenneth Carl James can be contacted via phone (318) 621-2929.

Contact Information

Primary practice address
2551 Greenwood Rd Ste 410 Shreveport LA 71103-3989
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 024187 Louisiana

Profile Details

NPI number 1811985245
LBN Legal business name Fitzgerald, Kenneth Carl James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Sep 6th, 2024 - about 2 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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