KENDALL TREVOR FROM JR. (NPI# 1467445304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467445304 |
| Entity Type | Individual |
| Full Name | KENDALL TREVOR FROM JR. |
| Credential | M.D. |
| Practice Address |
176 Versailles Blvd Alexandria LA 71303-2493 |
| Mailing Address |
Po Box 13030 Alexandria LA 71315-3030 |
| Practice Telephone | 3184459331 |
| Practice Fax Number | 3186196899 |
| Mailing Telephone | 3184459331 |
| Mailing Fax Number | 3186196899 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
011866 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1304654 | 05 |
| Street Address |
176 VERSAILLES BLVD |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233293 | Jose Ramon Garcia-ramirez | Internal Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2005-08-25 |
| 1578964714 | Bridgette Marcotte | Nurse Practitioner | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2014-09-08 |
| 1902226285 | Bridgett Dawn Foreman | Internal Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2014-04-24 |
| 1255668760 | Kaitlin Harris Miller | Nurse Practitioner | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2009-11-05 |
| 1023251659 | Blaine Mark Broussard | Internal Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2009-04-13 |
| 1770780108 | Aaron David Mclemore | Internal Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2007-06-29 |
| 1316043730 | Daniel Renois | Family Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2006-09-15 |
| 1780627000 | Roberto Jose Garcia | Internal Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2006-06-14 |
| 1831180637 | Freedman Clinic of Internal Medicine, LLP | Family Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2005-10-31 |
| 1326035122 | Ernesto Jose Garcia-ramos | Internal Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2005-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489929 | Cenla Kidney Specialists LLC | Internal Medicine | 6412 Genevieve Dr, Alexandria, LA 71301-2789 | 2019-04-01 |
| 1073784955 | James Andrew Morock Sr. | Internal Medicine | 3915 Maywood St, Alexandria, LA 71302-2526 | 2008-03-18 |
| 1033271382 | Tariq Rehman | Internal Medicine | 4141a Duke St, Alexandria, VA 22304-2415 | 2006-12-14 |
| 1629021530 | V. Bala Subramanian | Internal Medicine | 4141 Duke St, Alexandria, VA 22304-2415 | 2006-05-19 |
| 1164411815 | Khaldoun Soudan | Internal Medicine | 2220 Worley Dr, Alexandria, LA 71301-3600 | 2005-10-17 |
| 1689103335 | Lafayette Kidney Care LLC | Internal Medicine | 201 4th St Ste 5a, Alexandria, LA 71301-8421 | 2017-06-07 |
| 1437518586 | Primea Health P. C. | Internal Medicine | 2616 Sherwood Hall Ln, #205, Alexandria, VA 22306-3100 | 2016-02-17 |
| 1992972152 | Rajat Gulati | Internal Medicine | 201 4th St, 5a, Alexandria, LA 71301-8421 | 2008-05-15 |
| 1770537870 | Hassan Shahin | Internal Medicine | 4141 Duke St, Alexandria, VA 22304-2415 | 2006-05-22 |
| 1295728087 | Mark Matthew Wilson | Internal Medicine | 1337 Centre Ct, Alexandria, LA 71301 | 2005-08-26 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on KENDALL TREVOR FROM JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.