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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972506491 NPPES
Louisiana MEDICAID 1541729

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