Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH RICHMOND HABETZ, M.D.
Active Sole ProprietorDR. KENNETH RICHMOND HABETZ, M.D. is a Neurology with Special Qualifications in Child Neurology healthcare provider located in LAFAYETTE, Louisiana. NPI 1568788479 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · LAFAYETTE, LA
Registration Details
- NPI Number
- 1568788479
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2010 (16.374413872155 yrs)
- Last Updated
- Jan 21, 2022
- Licenses
-
301679 (LA)E9239 (AR)301679 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4704 AMBASSADOR CAFFERY PKWYLAFAYETTE, LA, 705086908Browse LA providers · Browse ZIP 70508
- Phone
- 3374705920
- Fax
- 8554316867
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
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.