Tracy, Kathy Lynne
Tracy, Kathy Lynne is an sole proprietor health care provider with primary practice located at 176 Longville Church Rd , Longville LA 70652-5036. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Tracy, Kathy Lynne can be contacted via phone (337) 794-5745.Contact Information
Primary practice address
176 Longville Church Rd
Longville LA 70652-5036
Phone: (337) 794-5745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 023904 | Louisiana |
Profile Details
| NPI number | 1942255070 |
|---|---|
| LBN Legal business name | Tracy, Kathy Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Sep 29th, 2015 - about 10 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 | 1942255070 | NPPES |
| Louisiana | MEDICAID | 1429082 |
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