KIPP BURNETTE ARDOIN

LAKE CHARLES, LA
NPI1306027701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: LA  GETP.TUL.PED)
Enumeration Date2007-11-14
Last Update Date2013-04-18
Business Address
-- KIPP BURNETTE ARDOIN MD
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480
Mailing Address
-- KIPP BURNETTE ARDOIN MD
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480