Individual
KEVIN ROSTETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 464-8040
Mailing address
123 RUE SYDNEY, SAINT ROSE, LA 70087-3670
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
4324
LA
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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