Individual
KEVIN SORYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.P.H.
Contact information
Practice address
1705 S MORRISON BLVD, HAMMOND, LA 70403-5737
(985) 345-2020
Mailing address
1705 S MORRISON BLVD, HAMMOND, LA 70403-5737
(985) 345-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1853-787AT
LA
390200000X
Student in an Organized Health Care Education/Training Program
1853-787AT
LA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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