Individual
MR. KEN P EKISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-1246
(985) 873-1760
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-1246
(985) 873-1760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15330
LA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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