Individual
DR. KEVIN JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-5000
Mailing address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
305422
LA
207R00000X
Internal Medicine Physician
305422
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127909
—
OH
Enumeration date
05/11/2012
Last updated
07/15/2020
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