Bordelon, Kevin John
Bordelon, Kevin John is an sole proprietor health care provider with primary practice located at 4239 Highway 1192 Suite 200, Marksville LA 71351-4771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bordelon, Kevin John can be contacted via phone (318) 253-8600.Contact Information
Primary practice address
4239 Highway 1192 Suite 200
Marksville LA 71351-4771
Phone: (318) 253-8600
Fax: (318) 253-8654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 023281 | Louisiana |
Profile Details
| NPI number | 1972506491 |
|---|---|
| LBN Legal business name | Bordelon, Kevin John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2005 |
| Last updated | Jan 4th, 2011 - about 15 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 | 1972506491 | NPPES |
| Louisiana | MEDICAID | 1541729 |
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