Individual
DR. KENNETH JON KYSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5541 HIGHWAY 1, MARKSVILLE, LA 71351-2650
(318) 240-7240
Mailing address
5541 HIGHWAY 1, MARKSVILLE, LA 71351-2650
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
330032
LA
Other
Enumeration date
03/18/2019
Last updated
04/14/2023
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