Organization
PEDIATRIC NEUROLOGY OF ACADIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W. KEVILL M.D. (OWNER)
(337) 993-7391
Entity
Organization
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY, #B130, LAFAYETTE, LA 70508-6928
(337) 993-7391
(337) 993-7394
Mailing address
4540 AMBASSADOR CAFFERY PKWY, #B130, LAFAYETTE, LA 70508-6928
(337) 993-7391
(337) 993-7394
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1943215
—
LA
Enumeration date
05/20/2006
Last updated
08/22/2020
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