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1740284454
KENNETH J. CHAMPAGNE
LAFAYETTE, LA
NPI
1740284454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: LA MD.017238)
Enumeration Date
2005-06-09
Last Update Date
2021-10-01
Business Address
Dr. KENNETH J. CHAMPAGNE M.D.
102 DRURY LN
LAFAYETTE, LA 70508-5702
Phone number: 337-233-0219
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Mailing Address
Dr. KENNETH J. CHAMPAGNE M.D.
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 337-233-0219
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