Individual
KEVIN JOSEPH SOILEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 E FERTITTA BLVD, LEESVILLE, LA 71446-4737
(337) 239-6975
Mailing address
100 E FERTITTA BLVD, LEESVILLE, LA 71446-4737
(337) 239-6975
(337) 239-6979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14410
LA
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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