Healthcare Provider Details

I. General information

NPI: 1568912608
Provider Name (Legal Business Name): STEVEN KENNEY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2016
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4023 AMBASSADOR CAFFERY PKWY STE 520
LAFAYETTE LA
70503-5268
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 337-568-4325
  • Fax: 337-446-8776
Mailing address:
  • Phone: 337-470-5634
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP09059
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN130518
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: