Provider Demographics
NPI:1619025780
Name:SENG, LOUIS L (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:L
Last Name:SENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 MEDICAL CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-1189
Mailing Address - Country:US
Mailing Address - Phone:270-251-4141
Mailing Address - Fax:270-251-4522
Practice Address - Street 1:1029 MEDICAL CENTER CIR
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-1189
Practice Address - Country:US
Practice Address - Phone:270-251-4141
Practice Address - Fax:270-251-4522
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27010207R00000X
TNMD020458207R00000X
AZ19251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000530636OtherANTHEM
KY64270101Medicaid
KY64270101Medicaid
KYP00443791Medicare PIN
KY0793103Medicare PIN
KYE59210Medicare UPIN