person
Mr. Kenneth Lane Gary, NP
Family Nurse Practitioner in Sulphur, Louisiana
NPI 1992849244

Kenneth Lane Gary is a Family Nurse Practitioner based in Sulphur, LA and is specialized in Family. Kenneth Lane Gary practices in Sulphur, LA and has the professional credentials of NP. The NPI Number for Kenneth Lane Gary is 1992849244 and holds a License No. RN094922-AP04928 (Louisiana).

The current practice location address for Kenneth Lane Gary is 701 Cypress St, Sulphur, LA and can be reached out via phone at 337-527-4270 and via fax at 337-527-4288. You can also correspond with Kenneth Lane Gary through the mailing address at 4521 OAK RIDGE DR, SULPHUR, LA - 70665-9379 (mailing address contact number: 337-526-2777).

Location: 701 Cypress St, Sulphur, LA, 70665-9379
person
Provider Profile Details
NPI Number
1992849244
Provider Name
Kenneth Lane Gary
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
701 Cypress St, Sulphur, LA, 70665-9379
Phone Number
337-527-4270
Fax Number
337-527-4288
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1019631 05 LA
institution
Provider Business Practice Location Address Details
Address
701 Cypress St
City
State
Zip
70663-5053
Phone Number
337-527-4270
Fax Number
337-527-4288
person
Provider Business Mailing Address Details
Address
4521 Oak Ridge Dr
City
State
Zip
70665-9379
Phone Number
337-526-2777
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN094922-AP04928 (Louisiana)
Definition
Definition to come...
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