Individual
DEBORAH H KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503
(337) 706-1500
(337) 769-7164
Mailing address
PO BOX 53847, LAFAYETTE, LA 70505
(337) 706-1500
(337) 988-3059
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
015409
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350486
—
LA
Enumeration date
10/04/2005
Last updated
05/07/2008
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