Mook, Kenneth Allan
Mook, Kenneth Allan is an sole proprietor health care provider with primary practice located at 2614 Jefferson Hwy , New Orleans LA 70121-3828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mook, Kenneth Allan can be contacted via phone (504) 291-5100.Contact Information
Primary practice address
2614 Jefferson Hwy
New Orleans LA 70121-3828
Phone: (504) 291-5100
Fax: (504) 291-5125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 88900 | South Carolina |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 31321 | Kentucky |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 335350 | Louisiana |
Profile Details
| NPI number | 1285608752 |
|---|---|
| LBN Legal business name | Mook, Kenneth Allan |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Oct 30th, 2023 - about last year |
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 | 1285608752 | NPPES |
| Kentucky | Other | 1102772 | PASSPORT |
| Kentucky | Other | 61-1086535 | PASSPORT |
| Kentucky | MEDICAID | 200179480 | PASSPORT |
| Kentucky | MEDICAID | 64-313216 | PASSPORT |
| Kentucky | MEDICAID | 64313216 | PASSPORT |
| Kentucky | Other | 000000074661 | PASSPORT |
| Kentucky | Other | 2436318000 | PASSPORT |
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