Individual
KENNETH CHARLES SWEATMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
2411 LAKECREST DR, SHREVEPORT, LA 71109-3003
(318) 780-7977
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN131545
LA
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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