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Individual

DR. KEVIN LINDSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
122 WEATHERLY CV, SLIDELL, LA 70458-9010
(985) 661-9734
Mailing address
122 WEATHERLY CV, SLIDELL, LA 70458-9010
(985) 661-9734

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
018502
LA
208D00000X
General Practice Physician
14295
MS
208D00000X
General Practice Physician
71044
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1365998
LA
Enumeration date
06/19/2007
Last updated
07/08/2007
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