Individual
DR. KERRY EUGENE SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2314 S RANGE AVE, DENHAM SPRINGS, LA 70726-5216
(225) 480-4080
(866) 751-0881
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204575
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500640
—
LA
01
—
P01169638
RAILROAD MEDICARE
LA
Enumeration date
03/20/2008
Last updated
03/23/2026
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