Individual
MR. KEVIN J TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARDMS RVT RCS ARRT
Contact information
Practice address
335 GRANT RD, OPELOUSAS, LA 70570-0745
(337) 945-4953
(866) 390-5469
Mailing address
335 GRANT RD, OPELOUSAS, LA 70570-0745
(337) 945-4953
(866) 390-5469
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
81840
LA
2471V0105X
Vascular Sonography Radiologic Technologist
00026985
LA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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