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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730186750 | NPPES |
| Louisiana | MEDICAID | 1324400 |
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