KENNETH WAYNE DUNAWAY

BATON ROUGE, LA
NPI1093840860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PAA10576RX)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- KENNETH WAYNE DUNAWAY PA-C
4550 NORTH BLVD SUITE 100
BATON ROUGE, LA 70806-4013
Phone number: 225-938-6239
Mailing Address
-- KENNETH WAYNE DUNAWAY PA-C
10141 SANDHILL CT
BATON ROUGE, LA 70809-5924
Phone number: 225-938-6239
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