Organization
HOMEWELL MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCBRIDE PTA (OWNER)
(337) 298-8598
Entity
Organization
Contact information
Practice address
412 W UNIVERSITY AVE STE 206, LAFAYETTE, LA 70506-3673
(337) 298-8598
Mailing address
412 W UNIVERSITY AVE STE 206, LAFAYETTE, LA 70506-3673
(337) 298-8598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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