JEFFERSON KENNETH OBERLE

BATON ROUGE, LA
NPI1215126891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  200070Rx)
Enumeration Date2007-10-18
Last Update Date2008-05-15
Business Address
Mr. JEFFERSON KENNETH OBERLE PA-C
5000 HENNESSY BLVD OLOL ER
BATON ROUGE, LA 70808-4375
Phone number: 225-765-8070
Mailing Address
Mr. JEFFERSON KENNETH OBERLE PA-C
5010 MANCUSO LN APT # 921
BATON ROUGE, LA 70809-3594
Phone number: 225-773-3669