Individual provider · Type 1 NPI
Kevin Mark Sittig, MD
Pediatric Surgery Physician · Shreveport, LA
NPI number
1104846989
Active
Practice location
1541 Kings Hwy Dept Of
Shreveport, LA 71103-4228
Fax (318) 675-4689
Mailing address
1512 W Kirby Pl
Shreveport, LA 71103-3822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 017190 (LA) |
| Surgical Critical Care Physician | 2086S0102X | 017190 (LA) |
| Pediatric Surgery Physician Primary | 2086S0120X | 017190 (LA) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Other pediatric surgery physician providers in Shreveport
About NPI 1104846989
Kevin Mark Sittig, MD's National Provider Identifier is 1104846989, issued on Jul 21, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Shreveport, LA. The record was last updated on Aug 26, 2020.