Individual
MR. KENNETH PAUL METOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 REGENCY PL, WEST MONROE, LA 71291-4453
(318) 812-9999
(318) 323-9399
Mailing address
130 DESIARD STREET, SUITE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD205399
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121754
—
LA
Enumeration date
06/13/2008
Last updated
09/23/2013
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