Cruse, Kenneth James
Cruse, Kenneth James is an individual health care provider with primary practice located at 604 N Acadia Rd Suite 200, Thibodaux LA 70301-4897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cruse, Kenneth James can be contacted via phone (985) 448-3700.Contact Information
Primary practice address
604 N Acadia Rd Suite 200
Thibodaux LA 70301-4897
Phone: (985) 448-3700
Fax: (985) 448-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD10219R | Louisiana |
Profile Details
| NPI number | 1588668826 |
|---|---|
| LBN Legal business name | Cruse, Kenneth James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Feb 24th, 2016 - about 8 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 | 1588668826 | NPPES |
| Louisiana | MEDICAID | 1986011 |
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