Organization
DERMATOLOGY CENTER OF ACADIANA LLC
Active
Parent organization
KRISTY R KENNEDY, MD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KRISTY R KENNEDY, MD LLC
Authorized official
DR. KRISTY R KENNEDY MD (PRESIDENT)
(337) 235-6886
Entity
Organization
Contact information
Practice address
1245 S COLLEGE RD, BLDG 5, LAFAYETTE, LA 70503-2917
(337) 235-6886
(337) 235-6892
Mailing address
1245 S COLLEGE RD, BLDG 5, LAFAYETTE, LA 70503-2917
(337) 235-6886
(337) 235-6892
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.204714
LA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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