NPI 1750303145 · live from the CMS NPI Registry
Kenneth Dominic Abreo, MBBS
Internal Medicine, Nephrology in Shreveport, LA. National Provider Identifier 1750303145, active.
NPI record
| NPI | 1750303145 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Nephrology 207RN0300X |
| Practice location | 1541 Kings Hwy, Shreveport, LA 71103 |
| Practice phone | 318-626-0000 |
| Mailing address | 1512 W Kirby Pl, Shreveport, LA 71103 |
| Enumerated | July 24, 2006 |
| Last updated | March 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD.06699R (LA) |
| Internal Medicine, Nephrology primary | 207RN0300X | 06699R (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.