Kenneth L Gary (NPI# 1992849244, PAC ID# 0042396731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992849244 |
| PAC ID by PECOS | 0042396731 |
| Professional Enrollment ID | I20080320000369 |
| Full Name | Kenneth L Gary |
| Organization Legal Name | LAKE CHARLES URGENT CARE |
| Address |
2400 Ryan St Lake Charles LA 70601-7322 |
| Phone Number | 3374331260 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052580644 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190013 | WEST CALCASIEU CAMERON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 3379908000 | LAKE CHARLES URGENT CARE |
| 2400 Ryan St, Lake Charles, LA 70601-7322 | 3374331260 | LAKE CHARLES URGENT CARE |
| 301 S Cities Service Hwy, Sulphur, LA 70663-6405 | 3378883171 | LCUC FAMILY PHYSICIANS URGENT CARE LLC |
| Organization Legal Name | LAKE CHARLES URGENT CARE |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Lominac | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Melvin J Marque Iii | Emergency Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kristen H Hannaman | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Robert D Spencer | Physician Assistant | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Kevin J Murphy | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Michael J Stowell | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Anne C Griepsma | Nurse Practitioner | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Jane Ann Smeck | Emergency Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kevin P Dibenedetto | Family Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Lacey Millet Cavanaugh | Family Medicine | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Street Address |
2400 RYAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-7322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melvin J Marque Iii | Emergency Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kristen H Hannaman | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kevin J Murphy | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Anne C Griepsma | Nurse Practitioner | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Jane Ann Smeck | Emergency Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kevin P Dibenedetto | Family Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Gerard M Victoriano Jr. | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Lauren M Hay | Nurse Practitioner | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Charmaine Lemaire | Nurse Practitioner | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Jeffrey J Daigle | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE CHARLES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kenneth L Gary.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.