Gaddis, Kenneth Allen
Gaddis, Kenneth Allen is an individual health care provider with primary practice located at 9001 Summa Avenue , Baton Rouge LA 70809-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gaddis, Kenneth Allen can be contacted via phone (225) 761-5980.Contact Information
Primary practice address
9001 Summa Avenue
Baton Rouge LA 70809-3726
Phone: (225) 761-5980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 010208 | Louisiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD.010208 | Louisiana |
Profile Details
| NPI number | 1619921335 |
|---|---|
| LBN Legal business name | Gaddis, Kenneth Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619921335 | NPPES |
| Louisiana | MEDICAID | 1117587 | |
| Louisiana | MEDICAID | 00786760 |
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