Individual provider · Type 1 NPI

Kenneth Charles Civello Jr., MD, MPH

Clinical Cardiac Electrophysiology Physician · Baton Rouge, LA

NPI number 1699745562 Active

Practice location

7777 Hennessy Blvd, Suite 1000
Baton Rouge, LA 70808-4300

Fax (225) 766-2226

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X201354 (LA)
Cardiovascular Disease Physician 207RC0000X35084798 (OH)
Clinical Cardiac Electrophysiology Physician 207RC0001X35084798 (OH)
Clinical Cardiac Electrophysiology Physician Primary 207RC0001X201354 (LA)

Clinical Cardiac Electrophysiology Physician: A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

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About NPI 1699745562

Kenneth Charles Civello Jr., MD, MPH's National Provider Identifier is 1699745562, issued on Jan 24, 2006. The primary taxonomy on file is Clinical Cardiac Electrophysiology Physician (207RC0001X), and the practice location is in Baton Rouge, LA. The record was last updated on Feb 11, 2021.