Individual
MR. KEVIN CLAY MARCANTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2821 KARI LN, LAKE CHARLES, LA 70611-3333
(337) 499-7738
Mailing address
2821 KARI LN, LAKE CHARLES, LA 70611-3333
(337) 499-7738
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00929488
LA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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