Organization
KP MEDICAL LLC
Active
Other names
Prevail Heart Clinics of America-Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA LYNNE SYLVESTER (CLINIC MANAGER)
(337) 351-5510
Entity
Organization
Contact information
Practice address
854 KALISTE SALOOM RD STE C, LAFAYETTE, LA 70508-4367
(337) 443-9063
(337) 443-9063
Mailing address
854 KALISTE SALOOM RD STE C, LAFAYETTE, LA 70508-4367
(337) 443-9063
(337) 443-9067
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/18/2019
Last updated
04/13/2020
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