Shamlin, Kenyatta D.
Shamlin, Kenyatta D. is an individual health care provider with primary practice located at 8595 Picardy Ave Ste 100, Baton Rouge LA 70809-3674. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shamlin, Kenyatta D. can be contacted via phone (225) 763-4900.Contact Information
Primary practice address
8595 Picardy Ave Ste 100
Baton Rouge LA 70809-3674
Phone: (225) 763-4900
Fax: (225) 763-4938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 025911 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025911 | Louisiana |
Profile Details
| NPI number | 1093712234 |
|---|---|
| LBN Legal business name | Shamlin, Kenyatta D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093712234 | NPPES |
| Louisiana | Other | 110243989 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1136247 | RAILROAD MEDICARE |
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