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Individual

JAMES GREGORY KINNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15813 PAUL VEGA MD DR, SUITE 100, HAMMOND, LA 70403-1495
(985) 230-2663
(985) 370-4225
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-2663
(985) 370-4225

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LL28900
SC
207X00000X
Orthopaedic Surgery Physician
Primary
MD.03443R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1198757
LA
Enumeration date
06/13/2006
Last updated
11/01/2011
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