Pitcher, Kenneth J

Pitcher, Kenneth J is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Pitcher, Kenneth J can be contacted via phone (985) 230-1359.

Contact Information

Primary practice address
15790 Paul Vega Md Dr Hammond LA 70403-1434
Phone: (985) 230-1359
Fax: (985) 230-6480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP08065 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP08065 Louisiana

Profile Details

NPI number 1316342538
LBN Legal business name Pitcher, Kenneth J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2014
Last updated Sep 30th, 2020 - about 4 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 1316342538 NPPES
Louisiana MEDICAID 2379003

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