KENNETH CHARLES CIVELLO

BATON ROUGE, LA
NPI1699745562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: LA  201354)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: LA  201354)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: OH  35084798)
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: OH  35084798)
Enumeration Date2006-01-24
Last Update Date2021-02-11
Business Address
Dr. KENNETH CHARLES CIVELLO MD, MPH
7777 HENNESSY BLVD SUITE 1000
BATON ROUGE, LA 70808-4300
Phone number: 225-767-3900
Mailing Address
Dr. KENNETH CHARLES CIVELLO MD, MPH
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 222-526-0001