# PEDIATRIC GENERAL SURGERY APMC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114957172
- **Authorized official:** DR. KENNETH W FALTERMAN MD (OWNER)
- **Authorized official phone:** (337) 983-2468

## Contact information

- **Practice address:** 4650 AMBASSADOR CAFFERY PKWY, STE 202, LAFAYETTE, LA 70508-6926
- **Practice address phone:** (337) 983-2468
- **Practice address fax:** (337) 983-2471
- **Mailing address:** PO BOX 81932, LAFAYETTE, LA 70598-1932
- **Mailing address phone:** (337) 983-2468
- **Mailing address fax:** (337) 983-2471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 04/20/2008