Individual
DR. KENNETH RICHMOND HABETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4704 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6908
(337) 470-5920
(855) 431-6867
Mailing address
4704 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6908
(337) 470-5920
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
301679
LA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
301679
LA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
E9239
AR
Other
Enumeration date
04/16/2010
Last updated
01/21/2022
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