Individual
MR. KODY EDMOND SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1014 SAINT CLAIR BLVD STE 1020, GONZALES, LA 70737-5027
(225) 743-2000
Mailing address
2001 OAK CREEK RD APT B315, RIVER RIDGE, LA 70123-5841
(318) 533-0445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
308917
LA
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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