Provider Demographics
NPI:1912264110
Name:LANGHEINZ, KIRK PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:PHILIP
Last Name:LANGHEINZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 54287
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70154-4287
Mailing Address - Country:US
Mailing Address - Phone:337-289-8222
Mailing Address - Fax:337-289-8223
Practice Address - Street 1:1448 S COLLEGE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2920
Practice Address - Country:US
Practice Address - Phone:337-289-8222
Practice Address - Fax:337-289-8223
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2020-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA3051112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology