KENNETH JOSEPH WADDELL

LAKE CHARLES, LA
NPI1912761768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  234093)
Enumeration Date2024-02-12
Last Update Date2024-02-24
Business Address
KENNETH JOSEPH WADDELL
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3000
Mailing Address
KENNETH JOSEPH WADDELL
2305 PINEWOOD DR S
LAKE CHARLES, LA 70607-7522
Phone number: 337-764-5751
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