Individual
MICHAEL KEMP AMACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 CHURCH ST, STE E, ZACHARY, LA 70791-2700
(225) 654-3607
(225) 658-2262
Mailing address
2335 CHURCH ST STE E, ZACHARY, LA 70791-2700
(225) 570-2489
(225) 570-2986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013595
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193330
—
LA
Enumeration date
07/26/2005
Last updated
01/28/2020
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