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NPI 1992969125

NPI 1992969125 : LOUIS KERKHOFF, MD, APMC : OPELOUSAS, LA

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General NPI Number Information
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    NPI Number           |    1992969125
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOUIS KERKHOFF, MD, APMC 
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Dates
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    Enumeration Date     |    07/16/2008
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    Last Update Date     |    07/16/2008
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Provider Practice Location Address
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    Address Line         |    1268 ATTAKAPAS DR SUITE 102
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    City                 |    OPELOUSAS
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    State                |    LA
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    Zip                  |    70570-6500
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    Country              |    US
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    Telephone            |    337-948-1711
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    Fax                  |    337-948-3404
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Provider Business Mailing Address
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    Address Line         |    1268 ATTAKAPAS DR SUITE 102
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    City                 |    OPELOUSAS
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    State                |    LA
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    Zip                  |    70570-6500
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    Country              |    US
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    Telephone            |    337-948-1711
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    Fax                  |    337-948-3404
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LOUIS A. KERKHOFF 
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    Credential           |    MD
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    Telephone            |    337-948-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    013807
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    License Number State |    LA
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