KENNETH EDWIN BOOTH

SHREVEPORT, LA
NPI1831109552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  MD.015537)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
DR. KENNETH EDWIN BOOTH M.D.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
DR. KENNETH EDWIN BOOTH M.D.
10006 WINDING RIDGE DR
SHREVEPORT, LA 71106-7684
Phone number: 318-798-1254
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