| Ardoin-kennedy Llc | |
|
203 A Energy Parkway Lafayette LA 70508 | |
| (337) 234-1780 | |
| (337) 234-1723 |
| Full Name | Ardoin-kennedy Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 203 A Energy Parkway, Lafayette, Louisiana |
| Authorized Official Name and Position | Harold D. Kennedy (OWNER) |
| Authorized Official Contact | 3379489878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ardoin-kennedy Llc 2351 Larkspur Lane Opelousas LA 70570 Ph: (337) 948-9878 | Ardoin-kennedy Llc 203 A Energy Parkway Lafayette LA 70508 Ph: (337) 234-1780 |
| NPI Number | 1215453329 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 08/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215453329 | NPI | - | NPPES |
| 1846252 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Arizona) | Primary |
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