Bergeron, Kenneth Paul

Bergeron, Kenneth Paul is an individual health care provider with primary practice located at 539 E Prudhomme St , Opelousas LA 70570-6499. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bergeron, Kenneth Paul can be contacted via phone (337) 943-7128.

Contact Information

Primary practice address
539 E Prudhomme St Opelousas LA 70570-6499
Fax:
Website:

Health care specialties

Profile Details

NPI number 1508852187
LBN Legal business name Bergeron, Kenneth Paul
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508852187 NPPES
Louisiana MEDICAID 1620513

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