Gaddis, Kenneth Allen

Gaddis, Kenneth Allen is an individual health care provider with primary practice located at 9001 Summa Avenue , Baton Rouge LA 70809-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gaddis, Kenneth Allen can be contacted via phone (225) 761-5980.

Contact Information

Primary practice address
9001 Summa Avenue Baton Rouge LA 70809-3726
Phone: (225) 761-5980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 010208 Louisiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD.010208 Louisiana

Profile Details

NPI number 1619921335
LBN Legal business name Gaddis, Kenneth Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 28th, 2013 - about 12 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 1619921335 NPPES
Louisiana MEDICAID 1117587
Louisiana MEDICAID 00786760

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