Organization
COMPREHENSIVE NEUROLOGICS & SLEEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RENEE HARGRAVE (OFFICER)
(337) 235-4556
Entity
Organization
Contact information
Practice address
224 SAINT LANDRY ST STE 2B, LAFAYETTE, LA 70506-3549
(337) 235-4554
(337) 235-4556
Mailing address
224 SAINT LANDRY ST STE 2B, LAFAYETTE, LA 70506-3549
(337) 235-4554
(337) 235-4556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13877R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442372
—
LA
Enumeration date
07/09/2006
Last updated
08/22/2020
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