Odinet, Kenneth
Odinet, Kenneth is an sole proprietor health care provider with primary practice located at 200 Beaullieu Dr Building 6, Lafayette LA 70508-7230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Odinet, Kenneth can be contacted via phone (337) 234-8648.Contact Information
Primary practice address
200 Beaullieu Dr Building 6
Lafayette LA 70508-7230
Phone: (337) 234-8648
Fax: (337) 233-0244
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD019937 | Louisiana |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD019937 | Louisiana |
Profile Details
NPI number | 1942282389 |
---|---|
LBN Legal business name | Odinet, Kenneth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 18th, 2005 |
Last updated | Apr 29th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942282389 | NPPES |
Louisiana | MEDICAID | 1388050 |
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