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Organization

KENNETH D FUTCH, MD, AMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH D FUTCH MD (PRESIDENT)
(337) 269-9777
Entity
Organization

Contact information

Practice address
155 HOSPITAL DR, STE 101, LAFAYETTE, LA 70503-2852
(337) 269-9777
Mailing address
PO BOX 52507, LAFAYETTE, LA 70505-2507
(337) 269-9777

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
010958
LA

Other

Enumeration date
01/12/2007
Last updated
08/12/2008
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