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

DR. KENNETH CHARLES CIVELLO JR., MD, MPH

Active

DR. KENNETH CHARLES CIVELLO JR., MD, MPH is a Clinical Cardiac Electrophysiology healthcare provider located in BATON ROUGE, Louisiana. NPI 1699745562 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · BATON ROUGE, LA

Registration Details

NPI Number
1699745562
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2006 (20.511603446405 yrs)
Last Updated
Feb 11, 2021
Licenses
201354 (LA)
35084798 (OH)
35084798 (OH)
201354 (LA)

Practice Information

Address
7777 HENNESSY BLVD
SUITE 1000
BATON ROUGE, LA, 708084300
Browse LA providers · Browse ZIP 70808
Phone
2257673900
Fax
2257662226
Primary Specialty
Clinical Cardiac Electrophysiology
207RC0001X
Additional Specialty
Cardiovascular Disease

Other Clinical Cardiac Electrophysiology Providers in BATON ROUGE, LA

Name Credential NPI
DR. CHARLES ANDREW SMITH M.D. 1518962984
HENRY CARR PATRICK MD 1780685917
NORMAN JOSEPH DEUMITE MD 1073515011
PAUL MARTIN DAMPF M.D. 1992996417
ROBERT HOWARD DRENNAN MD 1538336177
WENJIE XU M.D. 1205084076
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.