Individual
DR. MICHAEL KEVIN SEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016692
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347876
—
LA
01
—
MD.016692
STATE LICENSE
LA
Enumeration date
12/19/2005
Last updated
04/28/2022
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