| Kenneth M. Spiller, M.d. | |
|
4212 W Congress St Suite 3600 Lafayette LA 70506-6765 | |
| (337) 988-2004 | |
| Not Available |
| Full Name | Kenneth M. Spiller, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4212 W Congress St, Lafayette, Louisiana |
| Authorized Official Name and Position | Marie Hebert (OFFICE MANAGER) |
| Authorized Official Contact | 3379882004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M. Spiller, M.d. 4212 W Congress St Suite 3600 Lafayette LA 70506-6765 Ph: (337) 988-2004 | Kenneth M. Spiller, M.d. 4212 W Congress St Suite 3600 Lafayette LA 70506-6765 Ph: (337) 988-2004 |
| NPI Number | 1053524819 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053524819 | NPI | - | NPPES |
| 1355984 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L018312 (Louisiana) | Primary |
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