Individual
KENNETH E MCCARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 ST PATRICK ST, STE 203, LAFAYETTE, LA 70506
(337) 261-1919
(337) 261-1599
Mailing address
1211 COOLIDGE BLVD, STE 301, LAFAYETTE, LA 70503-2636
(337) 261-1919
(337) 261-1599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
014180
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310026
—
LA
Enumeration date
11/30/2006
Last updated
06/27/2019
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