| Vestra Health Llc | |
|
287 Panther Trail Drive Kinder LA 70648 | |
| (337) 738-4180 | |
| (337) 738-4179 |
| Full Name | Vestra Health Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 287 Panther Trail Drive, Kinder, Louisiana |
| Authorized Official Name and Position | Daniel J Boudreaux (CEO) |
| Authorized Official Contact | 3378848799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vestra Health Llc 218 English Gardens Pkwy Lafayette LA 70503-5680 Ph: (337) 884-8799 | Vestra Health Llc 287 Panther Trail Drive Kinder LA 70648 Ph: (337) 738-4180 |
| NPI Number | 1265095004 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265095004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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