Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNNY KEVIN INGRAM, M.D.
Active Sole ProprietorDR. JOHNNY KEVIN INGRAM, M.D. is a Family Medicine healthcare provider located in VIDALIA, Louisiana. NPI 1437100419 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · VIDALIA, LA
Registration Details
- NPI Number
- 1437100419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2006 (20.268425790494 yrs)
- Last Updated
- Feb 10, 2014
- License
-
MD200671 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1154 LOGAN SEWELL DRVIDALIA, LA, 713733342Browse LA providers · Browse ZIP 71373
- Phone
- 3183368166
- Fax
- 3183368169
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in VIDALIA, LA
| Name | Credential | NPI |
|---|---|---|
| DR. DENNIS A LARAVIA | M.D. | 1730157249 |
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.