KENNETH ALLAN EBERSOLE

LAKE CHARLES, LA
NPI1699746487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP03160)
Enumeration Date2006-01-30
Last Update Date2017-03-20
Business Address
Mr. KENNETH ALLAN EBERSOLE APRN,FNP
277 N HIGHWAY 171 SUITE 10
LAKE CHARLES, LA 70611-5374
Phone number: 337-217-7762
Mailing Address
Mr. KENNETH ALLAN EBERSOLE APRN,FNP
501 DOCTOR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8258
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