Dieffenbach, Kenneth Marlin
Dieffenbach, Kenneth Marlin is an individual health care provider with primary practice located at Lsu Plastic Surgery Clinic 1532 Tulane Avenue, New Orleans LA 70112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dieffenbach, Kenneth Marlin can be contacted via phone (504) 903-2917.Contact Information
Primary practice address
Lsu Plastic Surgery Clinic 1532 Tulane Avenue
New Orleans LA 70112
Phone: (504) 903-2917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 03064R | Louisiana |
Profile Details
| NPI number | 1760405682 |
|---|---|
| LBN Legal business name | Dieffenbach, Kenneth Marlin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1760405682 | NPPES |
| Louisiana | MEDICAID | 1143987 |
Popular Providers
-
Yount, Royce Dean
3715 Prytania St Ste 400 , New Orleans LA 70115-3768 -
Khalid, Muhammad
1820 Saint Charles Ave Suite 208, New Orleans LA 70130-5268 -
Nguyen, Thanh Minh
3715 Prytania St. Suite 400, New Orleans LA 70115-3768 -
Kjellgren, Olle
2633 Napoleon Ave Suite 500, New Orleans LA 70115-6357 -
Abi-Samra, Freddy M.
1514 Jefferson Hwy , New Orleans LA 70121-2429 -
Bhansali, Siddharth
2633 Napoleon Ave Suite 500, New Orleans LA 70115-6357 -
Celebi, Murat M
3715 Prytania St Ste 400 , New Orleans LA 70115-3768 -
Gilliland, Yvonne E
1514 Jefferson Hwy , New Orleans LA 70121-2429