Individual
DR. KEVIN GRADY ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 E FAIRWAY DR, COVINGTON, LA 70433
(985) 867-4000
Mailing address
PO BOX 740550, NEW ORLEANS, LA 70174
(504) 366-7638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1667137
—
LA
Enumeration date
03/14/2006
Last updated
01/10/2014
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