| Kufoy Medical Clinic | |
|
311 S Pine St Deridder LA 70634-4837 | |
| (337) 463-3500 | |
| (337) 463-3526 |
| Full Name | Kufoy Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 311 S Pine St, Deridder, Louisiana |
| Authorized Official Name and Position | Ernesto Antonio Kufoy (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3374633500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kufoy Medical Clinic 311 S Pine St Deridder LA 70634-4837 Ph: (337) 463-3500 | Kufoy Medical Clinic 311 S Pine St Deridder LA 70634-4837 Ph: (337) 463-3500 |
| NPI Number | 1417118084 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 7911072012 |
|---|---|
| Medicare Enrollment ID | O20080826000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417118084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11431R (Louisiana) | Primary |
| Provider Name | Ernesto Antonio Kufoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295792596 PECOS PAC ID: 2567537665 Enrollment ID: I20080826000029 |
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