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Organization

KENNEDY FACIAL PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAIGE MARIE KENNEDY MD (OWNER, FACIAL PLASTIC SURGEON)
(337) 781-9728
Entity
Organization

Contact information

Practice address
550 LAKES BLVD, BREAUX BRIDGE, LA 70517-3240
(337) 761-3361
Mailing address
550 LAKES BLVD, BREAUX BRIDGE, LA 70517-3240
(337) 761-3361

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary

Other

Enumeration date
07/20/2026
Last updated
07/20/2026
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