Individual
MR. JOHN KENT DARTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
501 W SAINT MARY BLVD, SUITE 414, LAFAYETTE, LA 70506-4600
(337) 470-4732
(337) 470-4386
Mailing address
501 W SAINT MARY BLVD, SUITE 414, LAFAYETTE, LA 70506-4600
(337) 470-4732
(337) 470-4386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035335
—
LA
Enumeration date
07/20/2007
Last updated
03/07/2016
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