Nurtured Heart, Llc

NPI 1073820676 - Internal Medicine - 207RI0011X

NPI Details
NPI 1073820676
Enumeration Date 09/03/2010
Last Updated 09/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KEVIN KEVIN
Position OWNER
Phone (337) 412-6721
Fax
Practice Location
324 SETTLERS TRACE BLVD
LAFAYETTE LA, 70508-6060, US
Phone (337) 412-6721
Fax
Business Location
5850 VALLEY RD
SUITE 80
BIRMINGHAM AL, 35235-8647, US
Phone (205) 655-6568
Fax (205) 655-6569
Toxanomy
Taxonomy Code 207RI0011X
License State Alabama
License Number MD 27295
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According to our database, Nurtured Heart, Llc NPI is 1073820676, taxonomy code is 207RI0011X and license number is MD 27295, license state is located at Alabama. Nurtured Heart, Llc physically located at 324 Settlers Trace Blvd, Lafayette LA, 70508-6060. NPI Number 1033115704 has the healthcare provider type.

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1073820676 NPI number is provided on an as is basis without warranty of any kind. 1073820676 is maintained by the National Plan & Provider Enumeration System. The contents of Nurtured Heart, Llc are for informational purposes only.