Roy, Alphonse Kenison

Roy, Alphonse Kenison is an sole proprietor health care provider with primary practice located at 4933 Wabash St , Metairie LA 70001-1031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Roy, Alphonse Kenison can be contacted via phone (504) 780-2766.

Contact Information

Primary practice address
4933 Wabash St Metairie LA 70001-1031
Phone: (504) 780-2766
Fax: (504) 780-9699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 12078 Louisiana

Profile Details

NPI number 1730186750
LBN Legal business name Roy, Alphonse Kenison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Feb 7th, 2014 - about 10 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 1730186750 NPPES
Louisiana MEDICAID 1324400

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