Provider Type Icon

KP MEDICAL LLC NPI 1407315617


NPI Information

NPI: 1407315617
Provider Name: KP MEDICAL LLC

Doing Business As: PREVAIL HEART CLINICS OF AMERICA-LAFAYETTE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 19D2230023

Address:
854 KALISTE SALOOM RD STE C
LAFAYETTE, LA
ZIP 70508
Phone: (337) 443-9063
Get Directions

KP MEDICAL LLC is a cardiovascular disease internal medicine in Lafayette, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KP MEDICAL LLC NPI is 1407315617. The provider is registered as an organization entity type.
The provider Is Doing Business As Prevail Heart Clinics Of America-lafayette.

The provider's business location address is:

854 KALISTE SALOOM RD STE C
LAFAYETTE, LA
ZIP 70508-367
Phone: (337) 443-9063
Fax: (337) 443-9063

The provider's authorized official is Tonia Lynne Sylvester .
The authorized official title is Clinic Manager and has the following contact phone number (337) 351-5510.

The CLIA number assigned to this NPI record is 19D2230023 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 4/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.