Kenneth A Blais, M.D. is a student in an organized health care education training program in Shreveport, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kenneth A Blais, M.D. NPI is 1871704189. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1501 KINGS HWY
DEPARTMENT OF ORAL & MAXILLARY SURGERY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-7737
Fax: (318) 675-5666
The NPI 1871704189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/25/2007 and was last updated on 5/28/2008.