Kenneth Maniscalco Jr., MD
Kenneth Maniscalco Jr., MD is an Emergency Medicine in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2018, 8 years ago. Practices with Tennessee River Physicians, PLLC, a 65-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 8
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- TN
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Shreveport, LANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 57631 (TN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1275929036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2015 |
| Last updated in NPPES | July 9, 2018 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2018 (8 years in practice) |
| Group practice | Tennessee River Physicians, Pllc — 65 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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