Organization
KENNETH L. ODINET MD, ASC-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L ODINET M.D. (OWNER)
(337) 234-8648
Entity
Organization
Contact information
Practice address
200 BEAULLIEU DR, BUILDING 6, LAFAYETTE, LA 70508-7230
(337) 234-8648
(337) 233-0244
Mailing address
200 BEAULLIEU DR, BUILDING 6, LAFAYETTE, LA 70508-7230
(337) 234-8648
(337) 233-0244
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
177
LA
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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