Individual
KENNETH W. LEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 E MILLER AVE STE B, IOWA, LA 70647-4075
(337) 582-7632
(337) 582-7656
Mailing address
PO BOX 123604 DEPT 3604, DALLAS, TX 75312-3604
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
305225
LA
208000000X
Pediatrics Physician
305225
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2331426
—
LA
Enumeration date
04/22/2013
Last updated
10/11/2024
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