Individual
MRS. KATIE A DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
206 ENERGY PARKWAY, LAFAYETTE, LA 70508-3816
(337) 504-3335
(337) 504-4795
Mailing address
206 ENERGY PARKWAY, LAFAYETTE, LA 70508-3816
(337) 504-3335
(337) 504-4795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
304171
LA
207R00000X
Internal Medicine Physician
INTERN PERMIT PENDIN
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389491
—
LA
Enumeration date
04/11/2015
Last updated
03/07/2024
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