Individual
KENNETH E. MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,LLC
Contact information
Practice address
102 GENEVIEVE DR, LAFAYETTE, LA 70503-4811
(337) 981-6882
(337) 991-0542
Mailing address
102 GENEVIEVE DR, LAFAYETTE, LA 70503-4811
(337) 981-6882
(337) 991-0542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5492
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854921
—
LA
Enumeration date
12/04/2007
Last updated
12/04/2007
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