Individual
MR. KENNETH D FLETCHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,APRN,ANP-C
Contact information
Practice address
1106 RYAN ST, LAKE CHARLES, LA 70601-5252
(337) 497-9355
(337) 437-3692
Mailing address
1106 RYAN ST, LAKE CHARLES, LA 70601-5252
(337) 497-9355
(337) 437-3692
Taxonomy
Speciality
Code
Description
License number
State
364SX0106X
Occupational Health Clinical Nurse Specialist
Primary
AP05451
LA
Other
Enumeration date
07/30/2010
Last updated
05/21/2019
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