Pendleton, Karen M'Liss

Pendleton, Karen M'Liss is an sole proprietor health care provider with primary practice located at 6030 Line Ave Suite 210, Shreveport LA 71106-2062. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Pendleton, Karen M'Liss can be contacted via phone (318) 550-0050.

Contact Information

Primary practice address
6030 Line Ave Suite 210 Shreveport LA 71106-2062
Phone: (318) 550-0050
Fax: (318) 550-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 017966 Louisiana
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 017966 Louisiana

Profile Details

NPI number 1871781666
LBN Legal business name Pendleton, Karen M'Liss
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 2007 - about 18 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 1871781666 NPPES
Louisiana MEDICAID 1970701

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