Abreo, Kenneth Dominic

Abreo, Kenneth Dominic is an individual health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Abreo, Kenneth Dominic can be contacted via phone (318) 626-0000.

Contact Information

Primary practice address
1541 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 626-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.06699R Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 06699R Louisiana

Profile Details

NPI number 1750303145
LBN Legal business name Abreo, Kenneth Dominic
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 11th, 2024 - about 9 months 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 1750303145 NPPES
Louisiana MEDICAID 1351334

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