Individual
MRS. KATHY R BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
2390 WEST CONGRESS, LAFAYETTE, LA 70596
(337) 261-6000
(337) 261-6474
Mailing address
805 HEART D FARM RD, YOUNGSVILLE, LA 70592
(337) 261-6356
(337) 261-6474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN076923
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1155128
—
LA
Enumeration date
08/29/2006
Last updated
04/17/2008
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