Individual
KENNETH J PITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1359
(985) 230-6480
Mailing address
217 CHEROKEE ROSE LN, COVINGTON, LA 70433-7201
(985) 893-0911
(985) 875-7565
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP08065
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2379003
—
LA
Enumeration date
10/30/2014
Last updated
09/30/2020
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