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Individual

KEVIN O JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Mailing address
2900 INDIANA AVENUE, KENNER, LA 70065-4605
(985) 307-1600
(504) 575-3691

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023712
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1486965
LA
05
1579483
LA
Enumeration date
08/26/2005
Last updated
09/06/2017
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