Individual
DR. BRADY KIRK GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
219 LAKESIDE DR, LAFAYETTE, LA 70508-7045
(337) 356-3545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.205536
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD.205536
LA
208M00000X
Hospitalist Physician
MD.205536
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941701
—
LA
Enumeration date
12/31/2008
Last updated
09/17/2024
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