Kenneth Lane Gary, N.P.

Individual provider Active NPI Family Nurse Practitioner · Sulphur, LA

NPI 1992849244 · NPPES record last updated Mar 9, 2015

Key facts

NPI
1992849244
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN094922-AP04928 (LA)
Practice address
701 Cypress St
Sulphur, LA 70663-5053
Phone
(337) 527-4270
Fax
(337) 527-4288
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Charles Urgent Care (14 clinicians)
Lcuc Family Physicians Urgent Care LLC (13 clinicians)
Imperial Health LLP (75 clinicians)

Practice addresses (Care Compare)

1905 Country Club Rd
Lake Charles, LA 70605-5203
Phone (337) 990-8000

2400 Ryan St
Lake Charles, LA 70601-7322
Phone (337) 433-1260

301 S Cities Service Hwy
Sulphur, LA 70663-6405
Phone (337) 888-3171

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080320000369 LA Practitioner - Nurse Practitioner 0042396731 Reassigns benefits to 7 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN094922-AP04928LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP Current
since Aug 1, 2024
Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC Current
since Apr 1, 2015
Accepting new patients
Lcuc Family Physicians Urgent Care LLC Current
since Nov 14, 2016
Accepting new patients
Lake Charles Primary Care and Wellness Current
since Aug 19, 2025
Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC Current
since Sep 20, 2015
Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC Current
since Feb 4, 2015
Accepting new patients
Imperial Health, LLP Current
since Aug 1, 2024
Accepting new patients
Lake Charles Urgent Care Current
since May 1, 2012
Accepting new patients
Cardiovascular Specialists of Southwest Louisiana, LLC Past Accepting new patients
Lake Charles Memorial Heart and Vascular Center Past
since Mar 1, 2009
Accepting new patients

Locations

4201 Nelson Rd
Ste 100
Lake Charles, LA 70605
Phone (337) 310-2273

1905 Country Club Rd
Ste B
Lake Charles, LA 70605
Phone (337) 990-8002

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

277 N Highway 171
Ste 10
Lake Charles, LA 70611
Phone (337) 217-7762

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

301 S Cities Service Hwy
Sulphur, LA 70663
Phone (337) 527-6416

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN094922-AP04928 LA Yes

Addresses

Primary practice location

701 Cypress St
Sulphur, LA 70663-5053

Mailing address

4521 Oak Ridge Dr
Sulphur, LA 70665-9379
Phone (337) 526-2777

Other identifiers

IdentifierTypeStateIssuer
1019631MedicaidLA

Other providers in Sulphur, LA

All providers in Sulphur, LA · Family Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.