Individual
DR. BEAU HEZWELL KALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5263
Mailing address
14 LOCKWOOD DR APT 5B, CHARLESTON, SC 29401-1131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
85967
SC
208D00000X
General Practice Physician
Primary
85967
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
03/31/2017
Last updated
01/24/2024
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