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NPI Code Detail

MEDICARE: KEVIN O JOSEPH M.D.

MEDICARE:   KEVIN O JOSEPH  M.D.
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
1207Q00000XFamily Medicine Physician023712LA

Other Identifiers

General Provider Information

NPI Number : 1659364495
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN O JOSEPH M.D.
Provider Business Mailing Address
First Line : 2900 INDIANA AVENUE
Second Line :
City : KENNER
State : LA
Zip : 70065-4605
Country : US
Telephone Number : 985-307-1600
Fax Number : 504-575-3691
Provider Business Practice Location Address
First Line : 843 MILLING AVE
Second Line :
City : LULING
State : LA
Zip : 70070-4442
Country : US
Telephone Number : 985-785-5800
Fax Number : 985-785-5811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 09/06/2017

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Directions to “ KEVIN O JOSEPH M.D.” Practice Location

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