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Individual

DR. GABRIEL KEVIN KASOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4324 VETERANS MEMORIAL BLVD, SUITE 104, METAIRIE, LA 70006-5445
(504) 455-9825
(504) 883-7669
Mailing address
4324 VETERANS MEMORIAL BLVD, SUITE 104, METAIRIE, LA 70006-5445
(504) 455-9825
(504) 883-7669

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1394-524T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720712
LA
Enumeration date
09/06/2006
Last updated
02/23/2017
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