Kenneth M. Spiller, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L018312 Issued in LA

Legal business name

KENNETH M. SPILLER, M.D.

Practice address

4212 W Congress St
Suite 3600
Lafayette, LA 70506-6765

Phone

(337) 988-2004

NPI assigned

May 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Hebert

Title

Office Manager

Phone

(337) 988-2004

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053524819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 3600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-988-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 3600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-988-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. SPILLER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-988-2004"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "L018312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1355984",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kenneth L Entes MD Apmc
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• Kenneth L. Odinet, Jr., D.D.S., M.D., Apmc
• Brie C Kenney, COUNSELOR
• Kayla Howell Kenney, APRN, FNP-C
• Steven Kenney, NP
• Kens Thrifty Way Pharmacy and Home Medical Inc
• Desiree Kern, MS, RDN, LDN

• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.