Individual provider · NPI-1

Kenneth Dominic Abreo, MBBS

Internal Medicine, Nephrology · Shreveport, LA

NPI number1750303145
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1750303145
Entity type
Individual (NPI-1)
Name
Kenneth Dominic Abreo
Credential
MBBS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 24, 2006
Certification date
Mar 11, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology06699RLAYes
207R00000X Internal MedicineMD.06699RLA

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-626-0000

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Phone 318-626-0287 · Fax 318-629-4833

Other practice locations

1501 Kings Hwy
Department Of Medicine Nephrology
Shreveport, LA 71103-4228

Phone 318-813-2500 · Fax 318-813-2525

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