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Kenneth Bonneau
NPI 1669754800 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3754 Moss St
Lafayette, LA 70507 - Phone
- (337) 269-9300
- Fax
- (337) 235-7416
- Organisation at this address
- Louisiana Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana