KENNETH LANE GARY

SULPHUR, LA
NPI1992849244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  RN094922-AP04928)
Enumeration Date2007-02-19
Last Update Date2015-03-09
Business Address
Mr. KENNETH LANE GARY N.P.
701 CYPRESS ST
SULPHUR, LA 70663-5053
Phone number: 337-527-4270
Mailing Address
Mr. KENNETH LANE GARY N.P.
4521 OAK RIDGE DR
SULPHUR, LA 70665-9379
Phone number: 337-526-2777