Individual
KENNEDY KAW LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111-2385
(318) 212-7910
(318) 212-7915
Mailing address
2400 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111-2385
(318) 212-7910
(318) 212-7915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11966R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1692018
—
LA
Enumeration date
06/30/2006
Last updated
06/30/2021
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