Healthcare Provider Details

I. General information

NPI: 1629006325
Provider Name (Legal Business Name): KEVIN E. MCLAUGHLIN, M.D., APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 LAKEVIEW CT SUITE A
COVINGTON LA
70433-7514
US

IV. Provider business mailing address

350 LAKEVIEW CT SUITE A
COVINGTON LA
70433-7514
US

V. Phone/Fax

Practice location:
  • Phone: 985-867-5494
  • Fax: 985-867-5498
Mailing address:
  • Phone: 985-867-5494
  • Fax: 985-867-5498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number16152
License Number StateLA

VIII. Authorized Official

Name: JOEANNE WELLS
Title or Position: MANAGER
Credential:
Phone: 985-845-2677