Liudahl, Kevin Jay

Liudahl, Kevin Jay is an individual health care provider with primary practice located at 2800 Pierce St Ste 101, Sioux City IA 51104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Liudahl, Kevin Jay can be contacted via phone (712) 224-8677.

Contact Information

Primary practice address
2800 Pierce St Ste 101 Sioux City IA 51104
Phone: (712) 224-8677
Fax: (712) 277-1662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25978 Iowa

Profile Details

NPI number 1336243542
LBN Legal business name Liudahl, Kevin Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Feb 20th, 2019 - 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 1336243542 NPPES
Iowa Other P00784447 MEDICARE RR

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