# KTN MEDICAL LLC

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

## Provider details

- **NPI number:** 1396007480
- **Authorized official:** DR. KEN T NGUYEN MD (OWNER)
- **Authorized official phone:** (337) 433-6500

## Contact information

- **Practice address:** 1718 N MARTIN LUTHER KING HWY, LAKE CHARLES, LA 70601-1351
- **Practice address phone:** (337) 433-6500
- **Mailing address:** 1718 N MARTIN LUTHER KING HWY, LAKE CHARLES, LA 70601-1351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2012
- **Last updated:** 05/19/2021