MEDICARE: KENNIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	50362	LA

General Provider Information

NPI Number	:	1568718641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNIC INC

Provider Business Mailing Address
First Line	:	12097 OLD HAMMOND HWY
Second Line	:	SUITE D4
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8679
Country	:	US
Telephone Number	:	225-273-1891
Fax Number	:	225-273-1892

Provider Business Practice Location Address
First Line	:	12097 OLD HAMMOND HWY
Second Line	:	SUITE D4
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8679
Country	:	US
Telephone Number	:	225-273-1891
Fax Number	:	225-273-1892

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CARL J RAVEY
Credential	:
Telephone Number	:	225-273-1891

Provider Enumeration Date	:	07/26/2012
Last Update Date	:	07/26/2012

Similar Medicare Providers

1508670993 — MS. ELANAH DANIELLE WILSON
Practice Location Address:

12097 OLD HAMMOND HWY STE I4
BATON ROUGE, LA
70816-8679

Practice Phone: 225-328-0826
Practice Fax: 225-302-5506

1295615730 — LATEJLA JOHNSON
Practice Location Address:

12097 OLD HAMMOND HWY STE I4
BATON ROUGE, LA
70816-8679

Practice Phone: 225-246-8816
Practice Fax:

1912284332 — MR. MICHAEL ROY FELDMAN L.P.C.
Practice Location Address:

12097 OLD HAMMOND HWY STE I3
BATON ROUGE, LA
70816-8679

Practice Phone: 225-412-0130
Practice Fax: 225-412-0140

1801296355 — HOPE COMMUNITY SERVICES, INC.
Practice Location Address:

12097 OLD HAMMOND HWY , STE I4
BATON ROUGE, LA
70816-8679

Practice Phone: 919-599-1596
Practice Fax:

1184029985 — A-QUALITY PATIENT CARE LLC
Practice Location Address:

12097 OLD HAMMOND HWY , SUITE D-1
BATON ROUGE, LA
70816-8679

Practice Phone: 225-328-0899
Practice Fax:

1861897654 — GWENDOLYN KELLY
Practice Location Address:

12097 OLD HAMMOND HWY , SUITE D-1
BATON ROUGE, LA
70816-8679

Practice Phone: 225-328-0899
Practice Fax:

Directions to “KENNIC INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.