Individual
DR. BRUCE P. KERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
64030 HIGHWAY 434, LACOMBE, LA 70445-3456
(985) 892-4350
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018492
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357839
—
LA
Enumeration date
06/13/2006
Last updated
07/08/2007
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