| Doctor Name: | RONALD S KOBER |
| NPI Number: | 1861460453 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 013236 |
| Business Practice Address: | 641 Dr Michael Debakey Dr Lake Charles, LA - 706015726 |
| Business Phone Number: | 3374334651 |
| Business Fax Number: | 3374391702 |
| Mailing Address: | 501 Dr Michael Debakey Dr, LAKE CHARLES |
| State: | LA |
| Postal Code: | 706015724 |
| Phone Number: | 3373128360 |
| Fax Number: | 3373126711 |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 10/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 013236 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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. |