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Contact Information

KIM N POLUDNIANYK, DO
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA70601
 Phone: 337-494-4900
 Fax: 337-494-4936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KIM N POLUDNIANYK · (Female)

NPI # 1609072792
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/25/2007
Last updated 08/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 320010
Hospital affiliation(s)
  • PORTNEUF MEDICAL CENTER - (Acute Care)
    777 HOSPITAL WAY
    POCATELLO, ID 83201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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