Laursen, Kerry Annette

Laursen, Kerry Annette is an individual health care provider with primary practice located at 8330 Highway 6 Suite 110, Missouri City TX 77459-4777. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Laursen, Kerry Annette can be contacted via phone (281) 276-0653.

Contact Information

Primary practice address
8330 Highway 6 Suite 110 Missouri City TX 77459-4777
Fax: (281) 276-0691
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L6485 Texas

Profile Details

NPI number 1932100054
LBN Legal business name Laursen, Kerry Annette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 11th, 2017 - about 7 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 1932100054 NPPES
Texas MEDICAID 170771301
Texas MEDICAID 170773903
Texas MEDICAID 170773904
Texas Other 8EU201
Texas Other 8FT352
Texas MEDICAID 170773901
Texas MEDICAID 170773902

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