| Kndl Partners | |
|
4200 Nelson Rd Lake Charles LA 70605-4118 | |
| (337) 475-4748 | |
| (337) 944-4421 |
| Full Name | Kndl Partners |
|---|---|
| Speciality | Hospitalist |
| Location | 4200 Nelson Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Ken T Nguyen (PRESIDENT) |
| Authorized Official Contact | 3182727926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kndl Partners 5000 Lake St Unit 7579 Lake Charles LA 70606-5348 Ph: (337) 302-4239 | Kndl Partners 4200 Nelson Rd Lake Charles LA 70605-4118 Ph: (337) 475-4748 |
| NPI Number | 1073104667 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 06/16/2021 |
| Medicare PECOS PAC ID | 0547664617 |
|---|---|
| Medicare Enrollment ID | O20210811002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073104667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Ken T Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922209055 PECOS PAC ID: 4587726641 Enrollment ID: I20081224000122 |
| Provider Name | David J Landry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811281314 PECOS PAC ID: 4385880616 Enrollment ID: I20130411000282 |
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