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Individual

KEVIN RENE HARGRAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
136 HOSPITAL DR. STE 100, LAFAYETTE, LA 70503
(337) 289-8282
(337) 289-8283
Mailing address
136 HOSPITAL DR STE 100, LAFAYETTE, LA 70503-2819
(337) 289-8282
(337) 571-0899

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
13877R
LA
2084N0400X
Neurology Physician
Primary
13877R
LA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
13877R
LA

Other

Enumeration date
11/18/2005
Last updated
01/12/2026
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