| Organization Name: | AGAPE EAR NOSE & THROAT CLINIC PC |
| NPI Number: | 1386867968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN KENNETH SEWELL (PHYSICIAN) |
| Mailing Address: | 1608 S 5th St Leesville |
| State: | LA US |
| Postal Code: | 714465304 |
| Phone Number: | 3373921000 |
| Fax Number: | 3373921099 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 09/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 12272R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |