Kevin J Liudahl Md, Pc

LBN: Kevin J Liudahl Md, Pc
Kevin J Liudahl Md, Pc is an health care organization with primary practice located at 2800 Pierce St Suite 101, Sioux City IA 51104-3755. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kevin J Liudahl Md, Pc can be contacted via phone (712) 224-8677, or through Liudahl, Kevin J via phone (712) 224-8677.

Contact Information

Primary practice address
2800 Pierce St Suite 101 Sioux City IA 51104-3755
Phone: (712) 224-8677
Fax: (712) 277-1662
Website:
Map and Directions
Authorized official contact:
Name: Liudahl, Kevin J Doctor of Medicine (MD)
Phone: (712) 224-8677

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25978 Iowa

Profile Details

NPI number 1417098658
LBN Legal business name Kevin J Liudahl Md, Pc
DBA Doing business as
Authorized official Liudahl, Kevin J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Nov 13th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417098658 NPPES
Iowa MEDICAID 0464826

Popular Providers