Individual
KENNETHA L SIMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 HIGH HOPE RD, SULPHUR, LA 70663-0037
(337) 527-8140
Mailing address
702 E SCHOOL ST STE B, LAKE CHARLES, LA 70607-3028
(337) 912-5984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208939
LA
Other
Enumeration date
10/18/2019
Last updated
07/08/2024
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