Kevin Mark Sittig, M.D.
Surgery, Pediatric Surgery in Shreveport, LA. Individual provider (NPI-1).
NPI number1104846989
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1104846989
- Entity type
- Individual (NPI-1)
- Name
- Kevin Mark Sittig
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Certification date
- Aug 26, 2020
- Last updated
- Aug 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | 017190 | LA | Yes |
| 208600000X | Surgery | 017190 | LA | |
| 2086S0102X | Surgery, Surgical Critical Care | 017190 | LA |
Practice location
1541 Kings Hwy Dept OfShreveport, LA 71103-4228
Phone 318-813-2655 · Fax 318-675-4689
Mailing address
1512 W Kirby PlShreveport, LA 71103-3822
Phone 318-626-0287 · Fax 318-629-4808
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Other Pediatric Surgery Physician providers in Shreveport, LA
- Kevin Neal Boykin, M.D.NPI 1710909163
- Mark Frederick Brown, M.D.NPI 1689672032
- Donald Lynn Sorrells, MDNPI 1689672172
- Wk Pediatric Surgical AssociatesNPI 1316386436
All 5 Pediatric Surgery Physician providers in Shreveport · All 11,081 providers in Shreveport
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