Individual
MR. KENNETH ALLAN EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,FNP
Contact information
Practice address
277 N HIGHWAY 171, SUITE 10, LAKE CHARLES, LA 70611-5374
(337) 217-7762
(337) 855-5310
Mailing address
501 DOCTOR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03160
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558761
—
LA
Enumeration date
01/30/2006
Last updated
03/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us