Individual
KEITH A COLOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BEAULLIEU DR., BLDG #5, LAFAYETTE, LA 70508-0000
(337) 267-4336
(337) 267-4167
Mailing address
200 BEAULLIEU DR., BLDG #5, LAFAYETTE, LA 70508-0000
(337) 267-4336
(337) 267-4167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD019858
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1388122
—
LA
Enumeration date
03/17/2006
Last updated
11/12/2009
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