# KENNETH E MCCARRON MD PMC

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

## Provider details

- **NPI number:** 1669708624
- **Authorized official:** KENNETH E MCCARRON M.D. (DIRECTOR/OWNER)
- **Authorized official phone:** (337) 261-1919

## Contact information

- **Practice address:** 1211 COOLIDGE BLVD, STE 301, LAFAYETTE, LA 70503-2636
- **Practice address phone:** (337) 261-1919
- **Practice address fax:** (337) 261-1599
- **Mailing address:** 1211 COOLIDGE BLVD, STE 301, LAFAYETTE, LA 70503-2636
- **Mailing address phone:** (337) 261-1919
- **Mailing address fax:** (337) 261-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2009
- **Last updated:** 12/02/2009