Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth J Ulicny, MD

Individual provider Anesthesiology Physician · NPI 1275094476

Kenneth J Ulicny, MD is an Anesthesiology in Shreveport, Louisiana. Qualified in 1998, 28 years ago. Practices with Surgical Anesthesia Associates PLLC, a 86-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
28
Licensed in
VA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Kings Highway Anesthesiology
Shreveport, LA 71130-3932
Phone: (318) 626-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101278328 (VA)

Record details

NPI number1275094476
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2019
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Surgical Anesthesia Associates Pllc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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