Individual
DR. KENNETH CARL JAMES FITZGERALD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 GREENWOOD RD STE 410, SHREVEPORT, LA 71103-3989
(318) 621-2929
Mailing address
2551 GREENWOOD RD STE 410, SHREVEPORT, LA 71103-3989
(318) 621-2929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024187
LA
Other
Enumeration date
10/10/2005
Last updated
09/06/2024
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