1538350046 NPI number — THOMAS E. KINSTREY A MEDICAL CORPORATION

Table of content: (NPI 1538350046)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538350046 NPI number — THOMAS E. KINSTREY A MEDICAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS E. KINSTREY A MEDICAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538350046
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2120 BERT KOUNS INDUSTRIAL LOOP
Provider Second Line Business Mailing Address:
SUITE M
Provider Business Mailing Address City Name:
SHREVEPORT
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71118-3351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-688-0319
Provider Business Mailing Address Fax Number:
318-686-3912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2120 BERT KOUNS INDUSTRIAL LOOP
Provider Second Line Business Practice Location Address:
SUITE M
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71118-3351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-688-0319
Provider Business Practice Location Address Fax Number:
318-686-3912
Provider Enumeration Date:
08/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KINSTREY
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
E
Authorized Official Title or Position:
OWNER/PHYSICIAN
Authorized Official Telephone Number:
318-688-0319

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  05118R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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