Individual provider · Type 1 NPI

Kenneth Allan Ebersole, APRN, FNP

Family Nurse Practitioner · Lake Charles, LA

NPI number 1699746487 Active

Practice location

277 N Highway 171, Suite 10
Lake Charles, LA 70611-5374

Call (337) 217-7762 Map

Fax (337) 855-5310

Mailing address

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP03160 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1699746487

Kenneth Allan Ebersole, APRN, FNP's National Provider Identifier is 1699746487, issued on Jan 30, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 20, 2017.