Sittig, Kevin Mark

Sittig, Kevin Mark is an individual health care provider with primary practice located at 1541 Kings Hwy Dept Of , Shreveport LA 71103-4228. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Sittig, Kevin Mark can be contacted via phone (318) 813-2655.

Contact Information

Primary practice address
1541 Kings Hwy Dept Of Shreveport LA 71103-4228
Phone: (318) 813-2655
Fax: (318) 675-4689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 017190 Louisiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 017190 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 017190 Louisiana

Profile Details

NPI number 1104846989
LBN Legal business name Sittig, Kevin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 26th, 2020 - about 6 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 1104846989 NPPES
Louisiana Other 55714F600 MEDICARE - PTAN
Louisiana MEDICAID 1386138 MEDICARE - PTAN

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