| NPI | 1740291624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK KENNEDY CEO Owner 337-886-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD018238) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-12-09 |