| Kml Industries L.l.c | |
|
2074 Fairwoods Dr Shreveport LA 71106-8549 | |
| (225) 936-4540 | |
| Not Available |
| Full Name | Kml Industries L.l.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 2074 Fairwoods Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Kevin Langlois (OWNER) |
| Authorized Official Contact | 2259364540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kml Industries L.l.c 280 Harders Crossing Blvd Shreveport LA 71106-8525 Ph: (225) 936-4540 | Kml Industries L.l.c 2074 Fairwoods Dr Shreveport LA 71106-8549 Ph: (225) 936-4540 |
| NPI Number | 1588159107 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 6507114949 |
|---|---|
| Medicare Enrollment ID | O20180801002814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588159107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin M Langlois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184997264 PECOS PAC ID: 6204145261 Enrollment ID: I20151014002501 |
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