Individual
KEVIN C. DUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 CALCASIEU DR, CREOLE, LA 70632
(337) 321-1680
(337) 542-4015
Mailing address
160 CALCASIEU DR, CREOLE, LA 70632-3112
(337) 321-1680
(337) 542-4015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12043R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933678
—
AL
05
—
03974517
—
MS
01
—
P00263508
RAILROAD MEDICARE
MS
Enumeration date
08/14/2006
Last updated
04/01/2019
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