KENNETH PAUL BERGERON

OPELOUSAS, LA
NPI1508852187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN083404)
Enumeration Date2005-09-20
Last Update Date2018-12-14
Business Address
KENNETH PAUL BERGERON CRNA
539 E PRUDHOMME ST
OPELOUSAS, LA 70570-6499
Phone number: 337-943-7128
Mailing Address
KENNETH PAUL BERGERON CRNA
PO BOX 459
OPELOUSAS, LA 70571-0459
Phone number: 337-849-5315
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