Individual
MR. KENT JOSEPH FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
19 MADERA CT, KENNER, LA 70065-3140
(504) 460-3271
Mailing address
19 MADERA CT, KENNER, LA 70065-3140
(504) 460-3271
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
088834
LA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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