# KENNETH M. SPILLER, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053524819
- **Authorized official:** MARIE HEBERT (OFFICE MANAGER)
- **Authorized official phone:** (337) 988-2004

## Contact information

- **Practice address:** 4212 W CONGRESS ST, SUITE 3600, LAFAYETTE, LA 70506-6765
- **Practice address phone:** (337) 988-2004
- **Mailing address:** 4212 W CONGRESS ST, SUITE 3600, LAFAYETTE, LA 70506-6765
- **Mailing address phone:** (337) 988-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | L018312 | LA | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020