DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIPP BURNETTE ARDOIN, MD

Active Sole Proprietor

KIPP BURNETTE ARDOIN, MD is a Pediatrics healthcare provider located in LAKE CHARLES, Louisiana. NPI 1306027701 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · LAKE CHARLES, LA

Registration Details

NPI Number
1306027701
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2007 (18.710001141037 yrs)
Last Updated
Apr 18, 2013
License
GETP.TUL.PED (LA)
Sole Proprietor
Yes

Practice Information

Address
2903 1ST AVE
LAKE CHARLES, LA, 706018809
Browse LA providers · Browse ZIP 70601
Phone
3374786480
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in LAKE CHARLES, LA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.