Individual
KENNETH ALLEN GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 SUMMA AVENUE, BATON ROUGE, LA 70809-3726
(225) 761-5980
Mailing address
1541 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
010208
LA
2084N0400X
Neurology Physician
Primary
MD.010208
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00786760
—
MS
05
—
1117587
—
LA
Enumeration date
05/19/2006
Last updated
01/28/2013
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