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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316342538 | NPPES |
Louisiana | MEDICAID | 2379003 |
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