Andre, Kent Douglas

Andre, Kent Douglas is an individual health care provider with primary practice located at 1400 W 22Nd St , Sioux Falls SD 57105-1505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Andre, Kent Douglas can be contacted via phone (605) 357-1300.

Contact Information

Primary practice address
1400 W 22Nd St Sioux Falls SD 57105-1505
Phone: (605) 357-1300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 7583 South Dakota

Profile Details

NPI number 1245425974
LBN Legal business name Andre, Kent Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Jul 27th, 2010 - about 15 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 1245425974 NPPES
South Dakota MEDICAID 7102790
South Dakota Other P00832291

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