Provider Demographics
NPI:1629177399
Name:FRANCOIS, KEVIN LYLE (RPH)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LYLE
Last Name:FRANCOIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 BRETON DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-856-1856
Mailing Address - Fax:
Practice Address - Street 1:3803-F MOSS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507
Practice Address - Country:US
Practice Address - Phone:337-264-8016
Practice Address - Fax:337-264-8015
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1275191Medicaid
ME0556050774Medicare ID - Type UnspecifiedMEDICARE