| Organization Name: | DR K FOURNET ETALPTR |
| NPI Number: | 1407904600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETTY C CHAMPAGNE (INSURANCE CLERK) |
| Mailing Address: | 406 N Main St Saint Martinville |
| State: | LA US |
| Postal Code: | 705824119 |
| Phone Number: | 3373945507 |
| Fax Number: | 3373945508 |
| NPI Enumeration Date: | 01/07/2007 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 7061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |