Organization
KANOME SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD W. JACKSON JR. R,D.C.S. (OWNER)
(318) 730-5640
Entity
Organization
Contact information
Practice address
639 W LAFAYETTE ST, WINNFIELD, LA 71483-3451
(318) 648-2220
(318) 648-2270
Mailing address
25 KANOME ROAD, LECOMPTE, LA 71346-9999
(318) 730-5640
(413) 653-8834
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
16604
LA
Other
Enumeration date
06/25/2006
Last updated
11/17/2009
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